MEDICARE: ALL AMERICAN SCOOTERS, 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

General Provider Information

NPI Number	:	1710182548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL AMERICAN SCOOTERS, INC

Provider Business Mailing Address
First Line	:	2403 NAOMI ST UNIT 3
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-4023
Country	:	US
Telephone Number	:	713-790-9988
Fax Number	:	713-790-9988

Provider Business Practice Location Address
First Line	:	2403 NAOMI ST UNIT 3
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-4023
Country	:	US
Telephone Number	:	713-790-9988
Fax Number	:	713-790-9988

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	ANDREW BURTON
Credential	:
Telephone Number	:	713-790-9988

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	06/06/2008

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