Organization
ACTIVE AMERICAN SCOOTER CO.
Active
Other names
Active American Mobility & Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY BLANCHARD (REGIONAL MANAGER)
(979) 997-4789
Entity
Organization
Contact information
Practice address
8666 HUEBNER RD STE 102, SAN ANTONIO, TX 78240-1844
(210) 558-3653
Mailing address
8666 HUEBNER RD STE 102, SAN ANTONIO, TX 78240-1844
(210) 558-3653
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
TX
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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