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Organization
GONZALAZ MED SUPPLIES LLC
Active
Organization
GONZALAZ MED SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA J JOHNSON (MANAGER)
(022) 422-4551
Entity
Organization
Contact information
Practice address
11133 SHADY TRL, DALLAS, TX 75229-4617
(224) 224-5125
Mailing address
11133 SHADY TRL, DALLAS, TX 75229-4617
(224) 224-5125
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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