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General NPI Number Information
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NPI Number | 1790979144
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Entity Type | Organization
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Legal Business Name | MOTION & MOVEMENT MEDICAL SUPPLIES
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 1125 N ROBISON RD
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City | TEXARKANA
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State | TX
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Zip | 75501-4103
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Country | US
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Telephone | 903-223-8896
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Fax | 903-832-2870
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Provider Business Mailing Address
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Address Line | 1125 N ROBISON RD
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City | TEXARKANA
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State | TX
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Zip | 75501-4103
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Country | US
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Telephone | 903-223-8896
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Fax | 903-832-2870
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Authorized Official
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Title or Position | OWNER
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Name | MR. PHILLIP R. SIMMONS
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Credential |
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Telephone | 903-223-8896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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