Organization
G. G. MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GUAJARDO (PRESIDENT/OWNER)
(210) 225-0607
Entity
Organization
Contact information
Practice address
209 W VILLAGE BLVD, STE 4, LAREDO, TX 78041-2227
(210) 225-0607
(210) 226-8460
Mailing address
PO BOX 12087, SAN ANTONIO, TX 78212-0087
(210) 225-0607
(210) 226-8460
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0077255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515615
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/10/2008
Last updated
04/10/2008
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