# LONE STAR SCOOTERS OF LONGVIEW, L.L.C.

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

## Provider details

- **NPI number:** 1437231776
- **Authorized official:** MR. BRADLEY MICHAEL SMITH (PRESIDENT)
- **Authorized official phone:** (903) 297-2834

## Contact information

- **Practice address:** 2010 GILMER RD, SUITE 103, LONGVIEW, TX 75604-2573
- **Practice address phone:** (903) 297-2834
- **Practice address fax:** (903) 297-2848
- **Mailing address:** 2010 GILMER RD, SUITE 103, LONGVIEW, TX 75604-2573
- **Mailing address phone:** (903) 297-2834
- **Mailing address fax:** (903) 297-2848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0072714 | TX | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 01/25/2008
