Organization
ACCESS2MOBILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JUDSON DEMOTT (PRESIDENT)
(903) 592-6760
Entity
Organization
Contact information
Practice address
12406 STATE HIGHWAY 155 S, TYLER, TX 75703-6446
(903) 592-6760
(903) 592-8922
Mailing address
12406 STATE HIGHWAY 155 S, TYLER, TX 75703-6446
(903) 592-6760
(903) 592-8922
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1686917-01
—
TX
05
—
168691702
—
TX
01
—
531775
BLUE CROSS PROVIDER
TX
01
—
611395700
US DEPT OF LABOR, OWCP
TX
Enumeration date
05/17/2006
Last updated
07/21/2022
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