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Organization
GULF COAST DME LLC
Active
Organization
GULF COAST DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA ROSS (PRESIDENT)
(480) 495-5644
Entity
Organization
Contact information
Practice address
6200 SAVOY DR STE 1202, HOUSTON, TX 77036-3397
(480) 648-0848
Mailing address
PO BOX 735248, DALLAS, TX 75373-5248
(480) 648-0848
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
06/05/2020
Last updated
07/23/2021
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