Organization
GULF COAST MEDICAL EQUIPMENT CO LLC
Active
Other names
National Durable Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PARKS AUTH. OFFICIAL (MANAGING OWNER)
(918) 830-1090
Entity
Organization
Contact information
Practice address
8660 S PEORIA AVE STE D, TULSA, OK 74132-2827
(918) 830-1090
Mailing address
7521 S OLYMPIA AVE # 1041, TULSA, OK 74132-1855
(918) 830-1090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
16186548
LA
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110981
—
LA
01
—
1972571719
NPI
LA
05
—
200608510A
—
OK
Enumeration date
03/09/2006
Last updated
03/27/2025
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