Provider Demographics
NPI:1255509519
Name:WHEELCHAIR & SCOOTER EXPRESS LC
Entity Type:Organization
Organization Name:WHEELCHAIR & SCOOTER EXPRESS LC
Other - Org Name:WHEELCHAIR & SCOOTER EXPRESS LC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-721-6008
Mailing Address - Street 1:2274 N HWY 69
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-8872
Mailing Address - Country:US
Mailing Address - Phone:409-721-6007
Mailing Address - Fax:409-721-6226
Practice Address - Street 1:2274 HIGHWAY 69 N
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-8872
Practice Address - Country:US
Practice Address - Phone:409-721-6007
Practice Address - Fax:409-721-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1124180003Medicare NSC