# GREAT AMERICAN SCOOTER COMPANY GOLDEN TRIANGLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great American Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710079983
- **Authorized official:** MR. BOBBY W SANDERS (OWNER)
- **Authorized official phone:** (409) 833-8300

## Contact information

- **Practice address:** 65 N 11TH ST, BEAUMONT, TX 77702-2224
- **Practice address phone:** (409) 833-8300
- **Practice address fax:** (409) 833-8301
- **Mailing address:** 65 N 11TH ST, BEAUMONT, TX 77702-2224
- **Mailing address phone:** (409) 833-8300
- **Mailing address fax:** (409) 833-8301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | TX | — |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 01/31/2012