Organization
ADVANCE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GOSSIP (PRES.)
(512) 371-8876
Entity
Organization
Contact information
Practice address
6448 E HWY 290, SUITE B102, AUSTIN, TX 78723-1068
(512) 371-8876
Mailing address
6448 E HWY 290, SUITE B102, AUSTIN, TX 78723-1068
(512) 371-8876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0078307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016458401
—
TX
Enumeration date
10/28/2009
Last updated
09/14/2010
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