# GADDY ENTERPRISES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GADDY ENTERPRISES, INC
- **Other names:** GADDY'S MEDICAL EQUIPMENT & SUPPLIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578983292
- **Legal business name:** GADDY ENTERPRISES, INC
- **Authorized official:** AMANDA M BUSH (PRESIDENT)
- **Authorized official phone:** (936) 590-4464

## Contact information

- **Practice address:** 3500 NORTH ST, SUITE \#1-A, NACOGDOCHES, TX 75965-2472
- **Practice address phone:** (936) 569-8585
- **Practice address fax:** (936) 569-8525
- **Mailing address:** PO BOX 1035, CENTER, TX 75935-1035
- **Mailing address phone:** (936) 590-4464
- **Mailing address fax:** (936) 590-4468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1001013 | TX | Yes |

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 10/24/2023