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Organization
SOUTH TEXAS C-PAP STORE,LLC
Active
Organization
SOUTH TEXAS C-PAP STORE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERT JOSE GONZALES III (PRESIDENT)
(210) 651-4940
Entity
Organization
Contact information
Practice address
19115 FM 2252 STE 5, GARDEN RIDGE, TX 78266-2578
(210) 651-4940
(210) 657-0301
Mailing address
19115 FM 2252 STE 5, GARDEN RIDGE, TX 78266-2578
(210) 651-4940
(210) 657-0301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0105916
TX
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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