Provider Demographics
NPI:1629379482
Name:FREEWHEELING RENTALS, LLC
Entity Type:Organization
Organization Name:FREEWHEELING RENTALS, LLC
Other - Org Name:BRACETEX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MCGARRAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-221-9040
Mailing Address - Street 1:9033 AERO ST
Mailing Address - Street 2:STE 112
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6343
Mailing Address - Country:US
Mailing Address - Phone:877-221-9040
Mailing Address - Fax:877-221-0707
Practice Address - Street 1:9033 AERO ST
Practice Address - Street 2:STE 112
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6343
Practice Address - Country:US
Practice Address - Phone:877-221-9040
Practice Address - Fax:210-877-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6696720001Medicare NSC