Organization
JGGPO CORPORATION
Active
Other names
Mercury Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN ANTHONY PRATT (CHIEF OPERATING OFFICER)
(915) 566-6600
Entity
Organization
Contact information
Practice address
7806 GATEWAY BLVD E, STE 101, EL PASO, TX 79915-1800
(915) 566-6600
(915) 566-7682
Mailing address
7806 GATEWAY BLVD E, STE 100, EL PASO, TX 79915-1800
(915) 566-6600
(915) 566-7682
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200103401
—
TX
05
—
200103402
—
TX
Enumeration date
07/16/2006
Last updated
12/10/2009
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