Provider Demographics
NPI:1295061133
Name:SCOOTER SERVICE AND MORE INC
Entity type:Organization
Organization Name:SCOOTER SERVICE AND MORE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C0-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALEX
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-653-9995
Mailing Address - Street 1:19107 BENTON CITY RD
Mailing Address - Street 2:
Mailing Address - City:VON ORMY
Mailing Address - State:TX
Mailing Address - Zip Code:78073-3929
Mailing Address - Country:US
Mailing Address - Phone:210-653-9995
Mailing Address - Fax:210-927-0972
Practice Address - Street 1:1201 PLEASANTON RD
Practice Address - Street 2:SUITE 1-2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-1979
Practice Address - Country:US
Practice Address - Phone:210-927-7999
Practice Address - Fax:210-927-0972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BC3200X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment