Healthcare Provider Details
I. General information
NPI: 1821222837
Provider Name (Legal Business Name): STABILITY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2009
Last Update Date: 05/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
108 S. ROBB SUITE #4
TRINITY TX
75862
US
IV. Provider business mailing address
7214 LAKEWOOD BLVD.
DALLAS TX
75214
US
V. Phone/Fax
- Phone: 214-324-0090
- Fax: 214-324-2990
- Phone: 214-324-0090
- Fax: 214-324-2990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LAURIE
ANN
PEMBERTON
Title or Position: PRESIDENT
Credential:
Phone: 214-324-0090