# GRES ADVANCED DME

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

## Provider details

- **NPI number:** 1780887349
- **Authorized official:** RAFAEL RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (210) 396-9016

## Contact information

- **Practice address:** 14439 NW MILITARY HWY \# 449, SHAVANO PARK, TX 78231-1646
- **Practice address phone:** (210) 396-9016
- **Practice address fax:** (210) 493-8875
- **Mailing address:** 14439 NW MILITARY HWY \# 449, SHAVANO PARK, TX 78231-1646
- **Mailing address phone:** (210) 396-9016
- **Mailing address fax:** (210) 493-8875

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2007
- **Last updated:** 08/22/2020