Organization
ROSIE L RAY
Active
Other names
SCOOTER WAREHOUSE & MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH J DREYER (MANAGER)
(210) 593-0400
Entity
Organization
Contact information
Practice address
3562 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7611
(325) 949-9956
(325) 223-2933
Mailing address
7959 FREDERICKSBURG RD, SUITE111, SAN ANTONIO, TX 78229-3430
(210) 593-0400
(210) 593-0904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
24616264206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146325901
—
TX
05
—
146325902
—
TX
Enumeration date
06/29/2005
Last updated
03/03/2008
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