# GREAT AMERICAN SCOOTER COMPANY OF HUMBLE LLC

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

## Provider details

- **NPI number:** 1871694216
- **Authorized official:** MR. TROY R LILES (CO-OWNER)
- **Authorized official phone:** (832) 445-0956

## Contact information

- **Practice address:** 2111 FM 1960 RD EAST, HUMBLE, TX 77338-5229
- **Practice address phone:** (832) 445-0956
- **Mailing address:** 2111 FM 1960 ROAD EAST, HUMBLE, TX 77338
- **Mailing address phone:** (832) 445-0956
- **Mailing address fax:** (832) 445-0958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0071765 | TX | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 03/07/2017