Organization
AUSTIN WHEELCHAIR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GEARHEART (PRESIDENT)
(317) 813-4210
Entity
Organization
Contact information
Practice address
11110 METRIC BLVD STE A, AUSTIN, TX 78758-4097
(512) 738-8818
(866) 566-4257
Mailing address
3750 PRIORITY WAY SOUTH DR, INDIANAPOLIS, IN 46240-3831
(512) 738-8818
(512) 452-7738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145962001
—
TX
Enumeration date
04/21/2006
Last updated
04/17/2024
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