Organization
G & G PROSTHETIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE CLINT GOSS L/CPO (OWNER)
(254) 771-5002
Entity
Organization
Contact information
Practice address
411O S. CLEAR CREEK ROAD, SUITE 109, KILLEEN, TX 76549
(254) 771-5002
Mailing address
6901 RIVER PARK CIR, FORT WORTH, TX 76116-8465
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101255
TX
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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