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Organization

GRES ADVANCED DME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAFAEL RODRIGUEZ (PRESIDENT)
(210) 396-9016
Entity
Organization

Contact information

Practice address
14439 NW MILITARY HWY # 449, SHAVANO PARK, TX 78231-1646
(210) 396-9016
(210) 493-8875
Mailing address
14439 NW MILITARY HWY # 449, SHAVANO PARK, TX 78231-1646
(210) 396-9016
(210) 493-8875

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/08/2007
Last updated
08/22/2020
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