Provider Demographics
NPI:1306333489
Name:GATESCO MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:GATESCO MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:ARAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:GATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-943-3600
Mailing Address - Street 1:4041 W WHEATLAND RD STE 166
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-4061
Mailing Address - Country:US
Mailing Address - Phone:214-943-3600
Mailing Address - Fax:214-943-3660
Practice Address - Street 1:4041 W WHEATLAND RD STE 166
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-4061
Practice Address - Country:US
Practice Address - Phone:214-943-3600
Practice Address - Fax:214-943-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-15
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies