MEDICARE: WHEELCHAIR & SCOOTER EXPRESS LC

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1093896003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEELCHAIR & SCOOTER EXPRESS LC

Provider Business Mailing Address
First Line	:	4905 SAN JACINTO
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004
Country	:	US
Telephone Number	:	713-942-2522
Fax Number	:	713-942-2225

Provider Business Practice Location Address
First Line	:	4905 SAN JACINTO ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-5718
Country	:	US
Telephone Number	:	713-942-2522
Fax Number	:	713-942-2225

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JIM M MARKS
Credential	:
Telephone Number	:	713-942-2522

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	04/23/2008

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