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
614 W FRENCH PL, SAN ANTONIO, TX 78212-3634
(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)
0028647
TX
3336C0003X
Community/Retail Pharmacy
Primary
25002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016085501
—
TX
05
—
091691802
—
TX
01
—
515615
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/02/2006
Last updated
07/23/2015
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