Organization
GTD MEDICAL INC.
Active
Other names
Advanced Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE RUSSELL MORRISON JR. BOCCOF (PRESIDENT/CEO)
(281) 392-5400
Entity
Organization
Contact information
Practice address
830 SOUTH MASON ROAD, SUITE B1, KATY, TX 77450-3863
(281) 392-5400
(281) 392-6096
Mailing address
830 SOUTH MASON ROAD, SUITE B1, KATY, TX 77450-3863
(281) 392-5400
(281) 392-6096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
40845
TX
335E00000X
Prosthetic/Orthotic Supplier
C17745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104473
—
TX
Enumeration date
03/21/2007
Last updated
06/28/2011
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