# SCOOTER MART

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154379980
- **Authorized official:** MR. RANDALL SONGER (OWNER)
- **Authorized official phone:** (361) 855-1212

## Contact information

- **Practice address:** 5142 RICHTER ST, BLDG A, CORPUS CHRISTI, TX 78415-2035
- **Practice address phone:** (361) 855-1212
- **Practice address fax:** (361) 855-1212
- **Mailing address:** 5142 RICHTER ST, BLDG A, CORPUS CHRISTI, TX 78415-2035
- **Mailing address phone:** (361) 855-1212
- **Mailing address fax:** (361) 855-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0044164 | TX | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 05/13/2008