# SOUTHEAST TEXAS MOBILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912191750
- **Authorized official:** MR. ROBERT DENNIS DONNELLY (OWNER)
- **Authorized official phone:** (409) 842-4821

## Contact information

- **Practice address:** 1005 LINDBERGH DR, STE. F, BEAUMONT, TX 77707-3659
- **Practice address phone:** (409) 842-4821
- **Practice address fax:** (409) 842-5187
- **Mailing address:** 2270 21ST ST, BEAUMONT, TX 77706-2952
- **Mailing address phone:** (409) 842-4821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 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