Healthcare Provider Details

I. General information

NPI: 1790510006
Provider Name (Legal Business Name): LE MOBILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5930 PLUM ST STE 132
WATAUGA TX
76148-3470
US

IV. Provider business mailing address

5930 PLUM ST STE 132
WATAUGA TX
76148-3470
US

V. Phone/Fax

Practice location:
  • Phone: 817-393-7026
  • Fax: 855-315-6919
Mailing address:
  • Phone: 817-393-7026
  • Fax: 855-315-6919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: TRUC LE
Title or Position: OWNER
Credential: DC, ATP
Phone: 817-393-7026