# GONZALAZ MED SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013873686
- **Authorized official:** AMANDA J JOHNSON (MANAGER)
- **Authorized official phone:** (022) 422-4551

## Contact information

- **Practice address:** 11133 SHADY TRL, DALLAS, TX 75229-4617
- **Practice address phone:** (224) 224-5125
- **Mailing address:** 11133 SHADY TRL, DALLAS, TX 75229-4617
- **Mailing address phone:** (224) 224-5125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2025
- **Last updated:** 12/29/2025