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Organization
SUNGATE MEDICAL LLC
Active
Organization
SUNGATE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY BUTCHKO (PRESIDENT)
(512) 459-7800
Entity
Organization
Contact information
Practice address
8711 BURNET RD, SUITE D-45, AUSTIN, TX 78757-7043
(512) 459-7800
(512) 459-7885
Mailing address
8711 BURNET RD, SUITE D-45, AUSTIN, TX 78757-7043
(512) 459-7800
(512) 459-7885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0073906
TX
Other
Enumeration date
05/24/2006
Last updated
12/18/2012
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