Organization
LONE STAR SCOOTERS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY MICHAEL SMITH (PRESIDENT)
(817) 346-0000
Entity
Organization
Contact information
Practice address
6225 OAKMONT BLVD, FORT WORTH, TX 76132-2812
(817) 346-0000
(817) 346-1150
Mailing address
6225 OAKMONT BLVD, FORT WORTH, TX 76132-2812
(817) 346-0000
(817) 346-1150
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0072472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563645
—
TX
01
—
452210
JACHO
—
01
—
531777
BCBS
TX
01
—
V16951
VGM
TX
Enumeration date
10/19/2006
Last updated
01/25/2008
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