MEDICARE: ZYVRA MOBILITY LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1699644435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZYVRA MOBILITY LLC

Provider Business Mailing Address
First Line	:	7016 DAVENPORT DIVIDE RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-2124
Country	:	US
Telephone Number	:	512-965-4832
Fax Number	:

Provider Business Practice Location Address
First Line	:	7016 DAVENPORT DIVIDE RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-2124
Country	:	US
Telephone Number	:	512-965-4832
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	WESLEY SCOTT BURRIS SR.
Credential	:
Telephone Number	:	512-965-4832

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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