Organization
GASTRO1 RECEIVABLES PURCHASING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUKAN DACCAK MD (AUTHORIZED OFFICIAL)
(713) 910-7779
Entity
Organization
Contact information
Practice address
3534 VISTA RD, PASADENA, TX 77504-1728
(713) 947-0330
(713) 947-6562
Mailing address
4450 E SAM HOUSTON PKWY S STE H2, PASADENA, TX 77505-3950
(713) 910-7779
(713) 910-7760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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