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Organization
TEXAS DME INC
Active
Organization
TEXAS DME INC
Active
Other names
Mobility Dynamics
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE D. YULE (PRESIDENT)
(817) 645-4718
Entity
Organization
Contact information
Practice address
604 N NOLAN RIVER RD, CLEBURNE, TX 76033-7008
(817) 645-4718
(817) 641-2960
Mailing address
604 N NOLAN RIVER RD, CLEBURNE, TX 76033-7008
(817) 645-4718
(817) 641-2960
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015900601
—
TX
05
—
087080001
—
TX
Enumeration date
05/27/2006
Last updated
05/20/2015
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