Organization
GOLD STAR ANCILLARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE ROPHAIL (MANAGING MEMBER)
(713) 679-4487
Entity
Organization
Contact information
Practice address
416 SE 1ST ST, MINERAL WELLS, TX 76067-5333
(504) 419-3671
Mailing address
PO BOX 131981, SPRING, TX 77393-1981
(504) 419-3671
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/22/2021
Last updated
10/26/2021
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