Healthcare Provider Details

I. General information

NPI: 1164319968
Provider Name (Legal Business Name): FM MOBILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W RENNER RD APT 2422
RICHARDSON TX
75080-1041
US

IV. Provider business mailing address

800 W RENNER RD APT 2422
RICHARDSON TX
75080-1041
US

V. Phone/Fax

Practice location:
  • Phone: 469-454-0948
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: FNU FAYAZUDDIN
Title or Position: PRESIDENT
Credential:
Phone: 469-454-0948