Provider Demographics
NPI:1043930787
Name:NEW BRAUNFELS MOBILITY LLC
Entity type:Organization
Organization Name:NEW BRAUNFELS MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GOMEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-624-9745
Mailing Address - Street 1:1693 KIMBERLY DAWN DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-1102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1693 KIMBERLY DAWN DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-1102
Practice Address - Country:US
Practice Address - Phone:830-283-7433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)