Organization
GADDY ENTERPRISES, INC
Active
Other names
GADDY'S MEDICAL EQUIPMENT & SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILA M GADDY (PRESIDENT/DIRECTOR)
(936) 590-4464
Entity
Organization
Contact information
Practice address
300 HURST ST, CENTER, TX 75935-4211
(936) 590-4464
(936) 590-4468
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
0046661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625451
—
LA
01
—
530993
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/13/2005
Last updated
10/24/2023
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