Individual
GORIOLA TONY SHOTOMIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6814 STABLETON LN, HOUSTON, TX 77049-2054
(713) 542-7438
Mailing address
6814 STABLETON LN, HOUSTON, TX 77049-2054
(713) 542-7438
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
36239122
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
36239122
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
36239122
TX
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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