Organization
FREEDOM TOWN SCOOTER OF DALLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MARCUS WIYGUL (OWNER)
(972) 247-9633
Entity
Organization
Contact information
Practice address
13860 N STEMMONS FWY, FARMERS BRANCH, TX 75234-3465
(972) 247-9633
Mailing address
13860 N STEMMONS FWY, FARMERS BRANCH, TX 75234-3465
(972) 247-9633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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