Provider Demographics
NPI:1104062926
Name:AMERICAN MOBILITY CORP.
Entity type:Organization
Organization Name:AMERICAN MOBILITY CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDACCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-788-1735
Mailing Address - Street 1:2101 MIDWAY RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4923
Mailing Address - Country:US
Mailing Address - Phone:972-788-1735
Mailing Address - Fax:972-788-8017
Practice Address - Street 1:2101 MIDWAY ROAD
Practice Address - Street 2:SUITE 140
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75006
Practice Address - Country:US
Practice Address - Phone:214-557-1074
Practice Address - Fax:972-788-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BX2000X
TX0108528332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies