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NPI Code Detail

MEDICARE: TEXAS SCOOTER SHOP

MEDICARE: TEXAS SCOOTER SHOP
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1043649676
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS SCOOTER SHOP
Provider Business Mailing Address
First Line : 1717 CAPITOL AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-4643
Country : US
Telephone Number : 210-785-8112
Fax Number : 210-785-8113
Provider Business Practice Location Address
First Line : 1717 CAPITOL AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-4643
Country : US
Telephone Number : 210-785-8112
Fax Number : 210-785-8113
Authorized Official
Title or Position : OWNER
Name : JIMMY CARDENAS
Credential : BIOTECH
Telephone Number : 210-785-8112
Provider Enumeration Date : 11/04/2013
Last Update Date : 11/06/2013

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Directions to “TEXAS SCOOTER SHOP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.