Provider Demographics
NPI:1891014072
Name:ABC SCOOTER RENTALS & SALES, LLC
Entity Type:Organization
Organization Name:ABC SCOOTER RENTALS & SALES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:WATSON
Authorized Official - Last Name:SELLERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-567-0637
Mailing Address - Street 1:2413 CANYON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2550
Mailing Address - Country:US
Mailing Address - Phone:903-567-0637
Mailing Address - Fax:
Practice Address - Street 1:2413 CANYON CREEK DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2550
Practice Address - Country:US
Practice Address - Phone:903-567-0637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies