Provider Demographics
NPI:1104144856
Name:MOBILITY OUTFITTERS, INC
Entity type:Organization
Organization Name:MOBILITY OUTFITTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SHOP MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-509-5233
Mailing Address - Street 1:2601 SUMMIT AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3776
Mailing Address - Country:US
Mailing Address - Phone:972-509-5233
Mailing Address - Fax:972-665-1822
Practice Address - Street 1:2601 SUMMIT AVE STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-3776
Practice Address - Country:US
Practice Address - Phone:972-509-5233
Practice Address - Fax:972-665-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171WH0202X
171WV0202X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty