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Organization
SOUTHEAST TEXAS MOBILITY
Active
Organization
SOUTHEAST TEXAS MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DENNIS DONNELLY (OWNER)
(409) 842-4821
Entity
Organization
Contact information
Practice address
1005 LINDBERGH DR, STE. F, BEAUMONT, TX 77707-3659
(409) 842-4821
(409) 842-5187
Mailing address
2270 21ST ST, BEAUMONT, TX 77706-2952
(409) 842-4821
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
Other
Enumeration date
09/05/2007
Last updated
12/06/2007
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