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General NPI Number Information
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NPI Number | 1457159782
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Entity Type | Organization
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Legal Business Name | FUTURE MOBILITY SYSTEMS OF TEXAS , INC.
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 4371 S FM 51
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City | DECATUR
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State | TX
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Zip | 76234-4809
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Country | US
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Telephone | 940-255-4334
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2284
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City | DECATUR
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State | TX
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Zip | 76234-6160
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Country | US
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Telephone | 940-255-4334
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | GUY TUCKER
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Credential |
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Telephone | 940-255-4334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number |
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License Number State |
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