Provider Demographics
NPI:1518032515
Name:HANDAR INC. DBA SCOTT MEDICAL SUPPLY
Entity Type:Organization
Organization Name:HANDAR INC. DBA SCOTT MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:WAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-322-7268
Mailing Address - Street 1:PO BOX 845
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76307-0845
Mailing Address - Country:US
Mailing Address - Phone:940-322-7268
Mailing Address - Fax:940-322-1918
Practice Address - Street 1:800 HAYES ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-3819
Practice Address - Country:US
Practice Address - Phone:940-322-7268
Practice Address - Fax:940-322-1918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016068101Medicaid
TX515470OtherBCBS TX SUPPLIER NUMBER
TX087309301Medicaid
TX0329380001Medicare NSC