Healthcare Provider Details

I. General information

NPI: 1295061133
Provider Name (Legal Business Name): SCOOTER SERVICE AND MORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PLEASANTON RD SUITE 1-2
SAN ANTONIO TX
78214-1979
US

IV. Provider business mailing address

19107 BENTON CITY RD
VON ORMY TX
78073-3929
US

V. Phone/Fax

Practice location:
  • Phone: 210-927-7999
  • Fax: 210-927-0972
Mailing address:
  • Phone: 210-653-9995
  • Fax: 210-927-0972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateTX

VIII. Authorized Official

Name: JOHN ALEX MARTINEZ
Title or Position: C0-OWNER
Credential:
Phone: 210-653-9995