Organization
GULF GATE DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUSTAVO HINCIPLE (PRESIDENT OWNER)
(713) 320-7415
Entity
Organization
Contact information
Practice address
1 PUTNAM AVE, ORANGE, TX 77630-2353
(409) 883-7117
(409) 883-7100
Mailing address
1 PUTNAM AVE, ORANGE, TX 77630-2353
(409) 883-7117
(409) 883-7100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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