MEDICARE: FM MOBILITY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1164319968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FM MOBILITY INC

Provider Business Mailing Address
First Line	:	800 W RENNER RD APT 2422
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-1041
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W RENNER RD APT 2422
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-1041
Country	:	US
Telephone Number	:	469-454-0948
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FNU FAYAZUDDIN
Credential	:
Telephone Number	:	469-454-0948

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	03/02/2026

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