MEDICARE: AMIGO MOBILITY CENTER 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	332BC3200X	Customized Equipment (DME)	0038278	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720026198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMIGO MOBILITY CENTER INC.

Provider Business Mailing Address
First Line	:	2100 N. HIGHWAY 360
Second Line	:	STE. 1802
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050
Country	:	US
Telephone Number	:	972-647-8567
Fax Number	:	972-660-4548

Provider Business Practice Location Address
First Line	:	2100 N. HIGHWAY 360
Second Line	:	STE. 1802
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050
Country	:	US
Telephone Number	:	972-647-8567
Fax Number	:	972-660-4548

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. CHENNA N. STRANGE
Credential	:
Telephone Number	:	972-647-8567

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	11/04/2011

Similar Medicare Providers

1205582822 — TX OTP, LLC
Practice Location Address:

2100 N HWY 360 STE 1904
GRAND PRAIRIE, TX
75050-1040

Practice Phone: 469-460-7090
Practice Fax: 469-460-7091

1376631952 — KEMG HOME HEALTH CARE INC
Practice Location Address:

810A DALWORTH ST STE A
GRAND PRAIRIE, TX
75050-5545

Practice Phone: 972-262-4300
Practice Fax: 972-262-4302

1831062793 — ARK HAVEN CARE LLC
Practice Location Address:

522 E AVENUE K STE 7
GRAND PRAIRIE, TX
75050-2402

Practice Phone: 469-426-1725
Practice Fax:

1225346513 — HUSSEINAT KEHINDE ADEBAYO PMHNP-C
Practice Location Address:

2100 N HWY 360 STE 405B
GRAND PRAIRIE, TX
75050-1025

Practice Phone: 469-990-5550
Practice Fax:

1750385795 — CHRIS STEPHEN CARTWRIGHT DDS
Practice Location Address:

117 N BELT LINE RD
GRAND PRAIRIE, TX
75050-5800

Practice Phone: 972-262-1395
Practice Fax: 972-262-1397

1528063146 — HEALTHTEXAS PROVIDER NETWORK
Practice Location Address:

2740 N HWY 360 , SUITE 100
GRAND PRAIRIE, TX
75050-6401

Practice Phone: 972-606-8300
Practice Fax: 972-606-4940

1720085418 — OV CARTWRIGHT DOS INC
Practice Location Address:

117 N BELT LINE RD
GRAND PRAIRIE, TX
75050-5800

Practice Phone: 972-262-1395
Practice Fax: 972-262-1397

Directions to “AMIGO MOBILITY CENTER INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.