SOUTHEAST TEXAS MOBILITY (NPI# 1912191750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912191750 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST TEXAS MOBILITY |
| Practice Address |
1005 Lindbergh Dr Ste. F Beaumont TX 77707-3659 |
| Mailing Address |
2270 21st St Beaumont TX 77706-2952 |
| Practice Telephone | 4098424821 |
| Practice Fax Number | 4098425187 |
| Mailing Telephone | 4098424821 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-12-06 |
| Authorized Official Name | MR. ROBERT DENNIS DONNELLY (OWNER) |
| Authorized Official Telephone | 4098424821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHEAST TEXAS MOBILITY LLC | 36170 Stepan Rd, Hempstead, TX 77445-3994 |
| Street Address |
1005 LINDBERGH DR STE. F |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588292684 | Ambulatory Strategies Physician Group | Durable Medical Equipment & Medical Supplies | 4046 Dowlen Rd, Beaumont, TX 77706-6849 | 2020-04-01 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1295381432 | Global Dme | Durable Medical Equipment & Medical Supplies | 442 E 6th St, Beaumont, CA 92223-2216 | 2019-08-14 |
| 1235697426 | Provisionam | Durable Medical Equipment & Medical Supplies | 3819 Phelan Blvd, Beaumont, TX 77707-2243 | 2019-03-06 |
| 1225589708 | J & C Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 3195 Calder Ave Ste 200, Beaumont, TX 77702-1426 | 2016-10-19 |
| 1649658238 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 11025 Eastex Freeway, Suites D/e, Beaumont, TX 77708 | 2015-05-14 |
| 1326451543 | Medical Plus Supplies, Inc | Durable Medical Equipment & Medical Supplies | 650 Magnolia St, Beaumont, TX 77701-1809 | 2014-06-05 |
| 1184963860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3080 College St Ste 1, Beaumont, TX 77701-4606 | 2013-01-31 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| 1780826982 | Blue Shield Medical Supply | Durable Medical Equipment & Medical Supplies | 680 N 7th St # Tth, Beaumont, TX 77702-1741 | 2009-04-02 |
| Find all providers in BEAUMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.