Provider Demographics
NPI:1316121957
Name:TEX-SAN MOBILITY INC
Entity type:Organization
Organization Name:TEX-SAN MOBILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:DALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-954-1172
Mailing Address - Street 1:4728 GOLDFIELD
Mailing Address - Street 2:6
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-4626
Mailing Address - Country:US
Mailing Address - Phone:210-954-1172
Mailing Address - Fax:
Practice Address - Street 1:4728 GOLDFIELD
Practice Address - Street 2:6
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-4626
Practice Address - Country:US
Practice Address - Phone:210-954-1172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies