Provider Demographics
NPI:1528251394
Name:MOBILITY ADVANTAGE, INC.
Entity type:Organization
Organization Name:MOBILITY ADVANTAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:N
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-599-1339
Mailing Address - Street 1:6634 TOPPER RUN STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3894
Mailing Address - Country:US
Mailing Address - Phone:210-599-1339
Mailing Address - Fax:210-599-2771
Practice Address - Street 1:6634 TOPPER RUN STE 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-3894
Practice Address - Country:US
Practice Address - Phone:210-599-1339
Practice Address - Fax:210-599-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment