Organization
ADVANCE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN GOSSIP (PRES)
(972) 458-8393
Entity
Organization
Contact information
Practice address
628 E CENTRE PARK BLVD, DESOTO, TX 75115-2499
(972) 458-8393
(972) 458-8304
Mailing address
628 E CENTRE PARK BLVD, DESOTO, TX 75115-2499
(972) 458-8393
(972) 458-8304
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/24/2006
Last updated
12/13/2022
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