Organization
AMIGO MOBILITY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHENNA N. STRANGE (OFFICE MANAGER)
(972) 647-8567
Entity
Organization
Contact information
Practice address
2100 N. HIGHWAY 360, STE. 1802, GRAND PRAIRIE, TX 75050
(972) 647-8567
(972) 660-4548
Mailing address
2100 N. HIGHWAY 360, STE. 1802, GRAND PRAIRIE, TX 75050
(972) 647-8567
(972) 660-4548
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0038278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158412-01
—
TX
05
—
015841201
—
TX
Enumeration date
06/04/2006
Last updated
11/04/2011
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