Organization
ACG MEDICAL SUPPLY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GARY GAMPHER (PRESIDENT)
(972) 463-0737
Entity
Organization
Contact information
Practice address
3502A LAKEVIEW PKWY, ROWLETT, TX 75088-4005
(972) 463-0737
(972) 463-0920
Mailing address
3502 LAKEVIEW PKWY, SUITE A, ROWLETT, TX 75088-4005
(972) 463-0737
(972) 463-0920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0040125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160948901
—
TX
05
—
160949701
—
TX
01
—
530962
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/31/2005
Last updated
12/08/2021
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