Healthcare Provider Details
I. General information
NPI: 1902159379
Provider Name (Legal Business Name): USA SEATING-MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/22/2012
Last Update Date: 09/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
315 E MAIN ST
UVALDE TX
78801-5640
US
IV. Provider business mailing address
315 E MAIN ST
UVALDE TX
78801-5640
US
V. Phone/Fax
- Phone: 830-591-2287
- Fax: 830-591-2386
- Phone: 830-591-2287
- Fax: 830-591-2386
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
INES
ROBERTO
REYES
Title or Position: PRESIDENT
Credential:
Phone: 830-591-2287