Provider Demographics
NPI:1730251513
Name:SCOOTERS TO GO AUSTIN, LLC
Entity type:Organization
Organization Name:SCOOTERS TO GO AUSTIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.M.
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:WEBBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-834-2100
Mailing Address - Street 1:13170 G POND SPRINGS ROAD
Mailing Address - Street 2:#10
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7172
Mailing Address - Country:US
Mailing Address - Phone:512-834-2100
Mailing Address - Fax:512-834-2128
Practice Address - Street 1:13170 G POND SPRINGS ROAD
Practice Address - Street 2:#10
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729
Practice Address - Country:US
Practice Address - Phone:512-834-2100
Practice Address - Fax:512-834-2128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1306890001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1306890001Medicare NSC