# SOUTH TEXAS C-PAP STORE,LLC

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

## Provider details

- **NPI number:** 1902054307
- **Authorized official:** MR. GILBERT JOSE GONZALES III (PRESIDENT)
- **Authorized official phone:** (210) 651-4940

## Contact information

- **Practice address:** 19115 FM 2252 STE 5, GARDEN RIDGE, TX 78266-2578
- **Practice address phone:** (210) 651-4940
- **Practice address fax:** (210) 657-0301
- **Mailing address:** 19115 FM 2252 STE 5, GARDEN RIDGE, TX 78266-2578
- **Mailing address phone:** (210) 651-4940
- **Mailing address fax:** (210) 657-0301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0105916 | TX | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 08/28/2008