Organization
GADDY ENTERPRISES, INC
Active
Parent organization
GADDY ENTERPRISES, INC
Other names
GADDY'S MEDICAL EQUIPMENT & SUPPLIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
GADDY ENTERPRISES, INC
Authorized official
AMANDA M BUSH (PRESIDENT)
(936) 590-4464
Entity
Organization
Contact information
Practice address
3500 NORTH ST, SUITE #1-A, NACOGDOCHES, TX 75965-2472
(936) 569-8585
(936) 569-8525
Mailing address
PO BOX 1035, CENTER, TX 75935-1035
(936) 590-4464
(936) 590-4468
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001013
TX
Other
Enumeration date
04/21/2014
Last updated
10/24/2023
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