Provider Demographics
NPI:1417711995
Name:MOBILITY REPAIR SPECIALISTS, INC.
Entity type:Organization
Organization Name:MOBILITY REPAIR SPECIALISTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-448-9859
Mailing Address - Street 1:105 S WARD DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-5051
Mailing Address - Country:US
Mailing Address - Phone:430-288-5596
Mailing Address - Fax:866-537-3112
Practice Address - Street 1:105 S WARD DR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-5051
Practice Address - Country:US
Practice Address - Phone:430-288-5596
Practice Address - Fax:866-537-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies