# FREEDOM TOWN SCOOTER OF DALLAS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649338864
- **Authorized official:** PHILLIP MARCUS WIYGUL (OWNER)
- **Authorized official phone:** (972) 247-9633

## Contact information

- **Practice address:** 13860 N STEMMONS FWY, FARMERS BRANCH, TX 75234-3465
- **Practice address phone:** (972) 247-9633
- **Mailing address:** 13860 N STEMMONS FWY, FARMERS BRANCH, TX 75234-3465
- **Mailing address phone:** (972) 247-9633

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020