MEDICARE: TG WHEELCHAIR, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	TX 0012812	TX

General Provider Information

NPI Number	:	1629065107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TG WHEELCHAIR, INC.

Provider Business Mailing Address
First Line	:	118 BROADWAY ST
Second Line	:	SUITE 540
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-1950
Country	:	US
Telephone Number	:	210-223-7878
Fax Number	:	210-223-0078

Provider Business Practice Location Address
First Line	:	118 BROADWAY ST
Second Line	:	SUITE 540
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-1950
Country	:	US
Telephone Number	:	210-223-7878
Fax Number	:	210-223-0078

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TOMMY GALAN
Credential	:
Telephone Number	:	210-223-7878

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	04/16/2008

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Directions to “TG WHEELCHAIR, INC. ” Practice Location

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