Organization
G & G PROSTHETIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE C GOSS (OWNER/PROSTHETIC /ORTHOTIST)
(254) 771-5002
Entity
Organization
Contact information
Practice address
2211 S 57TH ST, TEMPLE, TX 76504-6947
(254) 771-2002
(254) 771-5008
Mailing address
6901 RIVER PARK CIR, FORT WORTH, TX 76116-8465
(817) 732-0800
(817) 596-5119
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101255
TX
Other
Enumeration date
02/08/2008
Last updated
08/24/2011
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