Great American Scooter Company Golden Triangle LLC
Durable Medical Equipment & Medical Supplies in Beaumont, TX. Organization (NPI-2).
NPI number1710079983
StatusActive
Last updated in NPPESJan 31, 2012
Details
- NPI
- 1710079983
- Entity type
- Organization (NPI-2)
- Legal business name
- Great American Scooter Company Golden Triangle LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Jan 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BD1200X | Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | – | TX |
Other names
- Great American Medical Supply (Doing Business As)
Practice location
65 N 11th StBeaumont, TX 77702-2224
Phone 409-833-8300 · Fax 409-833-8301
Mailing address
65 N 11th StBeaumont, TX 77702-2224
Phone 409-833-8300 · Fax 409-833-8301
Authorized official
Bobby W Sanders
Owner
4098338300
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