Organization
OPEN ROAD MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA GIBSON (MANAGER)
(806) 771-5873
Entity
Organization
Contact information
Practice address
7411 82ND ST, LUBBOCK, TX 79424-4935
(806) 771-5873
(806) 771-5874
Mailing address
7411 82ND ST, LUBBOCK, TX 79424-4935
(806) 771-5873
(806) 771-5874
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
P108364M
TX
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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