Provider Demographics
NPI:1194813618
Name:MEDIQUIP MOBILITY
Entity type:Organization
Organization Name:MEDIQUIP MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-682-6830
Mailing Address - Street 1:2037 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4009
Mailing Address - Country:US
Mailing Address - Phone:956-682-6830
Mailing Address - Fax:956-682-6849
Practice Address - Street 1:2037 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4009
Practice Address - Country:US
Practice Address - Phone:956-682-6830
Practice Address - Fax:956-682-6849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5074640001Medicare NSC