Provider Demographics
NPI:1033249040
Name:DME SCOOTERS AND MORE INC.
Entity Type:Organization
Organization Name:DME SCOOTERS AND MORE INC.
Other - Org Name:SCOOTERS AND MORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-338-4848
Mailing Address - Street 1:100 W ROSEDALE ST
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4852
Mailing Address - Country:US
Mailing Address - Phone:817-338-4848
Mailing Address - Fax:817-338-4450
Practice Address - Street 1:100 W ROSEDALE ST
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4852
Practice Address - Country:US
Practice Address - Phone:817-338-4848
Practice Address - Fax:817-338-4450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0168643-01Medicaid
TX1629362-01Medicaid
TX1629362-02Medicaid
TX4593090001Medicare NSC