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Organization
LONE STAR SCOOTERS OF LONGVIEW, L.L.C.
Active
Organization
LONE STAR SCOOTERS OF LONGVIEW, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY MICHAEL SMITH (PRESIDENT)
(903) 297-2834
Entity
Organization
Contact information
Practice address
2010 GILMER RD, SUITE 103, LONGVIEW, TX 75604-2573
(903) 297-2834
(903) 297-2848
Mailing address
2010 GILMER RD, SUITE 103, LONGVIEW, TX 75604-2573
(903) 297-2834
(903) 297-2848
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0072714
TX
Other
Enumeration date
10/19/2006
Last updated
01/25/2008
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