Provider Demographics
NPI:1861813537
Name:E SCOOTERS TO GO LLC
Entity Type:Organization
Organization Name:E SCOOTERS TO GO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-927-5041
Mailing Address - Street 1:3300 SOUTH FWY
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-4316
Mailing Address - Country:US
Mailing Address - Phone:817-927-5041
Mailing Address - Fax:817-977-1553
Practice Address - Street 1:3301 S GROVE ST
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-4306
Practice Address - Country:US
Practice Address - Phone:817-927-5041
Practice Address - Fax:817-977-1553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-26
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7393500001Medicare NSC