# ADVANCE MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1053647842
- **Authorized official:** KENNETH GOSSIP (PRES.)
- **Authorized official phone:** (512) 371-8876

## Contact information

- **Practice address:** 6448 E HWY 290, SUITE B102, AUSTIN, TX 78723-1068
- **Practice address phone:** (512) 371-8876
- **Mailing address:** 6448 E HWY 290, SUITE B102, AUSTIN, TX 78723-1068
- **Mailing address phone:** (512) 371-8876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0078307 | TX | Yes |

## Other

- **Enumeration date:** 10/28/2009
- **Last updated:** 09/14/2010