# GULF COAST DME LLC

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

## Provider details

- **NPI number:** 1093339046
- **Authorized official:** JENNA ROSS (PRESIDENT)
- **Authorized official phone:** (480) 495-5644

## Contact information

- **Practice address:** 6200 SAVOY DR STE 1202, HOUSTON, TX 77036-3397
- **Practice address phone:** (480) 648-0848
- **Mailing address:** PO BOX 735248, DALLAS, TX 75373-5248
- **Mailing address phone:** (480) 648-0848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2020
- **Last updated:** 07/23/2021