MEDICARE: SCHRYVER MEDICAL SALES AND MARKETING

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	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1285019588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHRYVER MEDICAL SALES AND MARKETING

Provider Business Mailing Address
First Line	:	12075 E 45TH AVE
Second Line	:	SUITE 600
City	:	DENVER
State	:	CO
Zip	:	80239-3123
Country	:	US
Telephone Number	:	303-371-0073
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 FM 1960 RD W
Second Line	:	SUITE 450
City	:	HOUSTON
State	:	TX
Zip	:	77070-5654
Country	:	US
Telephone Number	:	303-371-0073
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAY SCHRYVER
Credential	:
Telephone Number	:	303-371-0073

Provider Enumeration Date	:	07/28/2015
Last Update Date	:	07/28/2015

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