Organization
LONE STAR SCOOTERS OF DENTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEYM MICHAEL SMITH (VICE PRESIDENT)
(940) 898-8800
Entity
Organization
Contact information
Practice address
1213 PRIMROSE LN STE A, DENTON, TX 76201-2526
(940) 898-8800
(940) 898-8802
Mailing address
1213 PRIMROSE LN STE A, DENTON, TX 76201-2526
(940) 898-8800
(940) 898-8802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0072871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584146
—
TX
01
—
452210
JACHO
—
Enumeration date
10/20/2006
Last updated
01/25/2008
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