Provider Demographics
NPI:1316331317
Name:DR GARRY GUCE AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:DR GARRY GUCE AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT BILLING ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-215-3325
Mailing Address - Street 1:2110 CLUBVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-3185
Mailing Address - Country:US
Mailing Address - Phone:646-512-1367
Mailing Address - Fax:
Practice Address - Street 1:874 ED HALL DR
Practice Address - Street 2:STE 106
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-1861
Practice Address - Country:US
Practice Address - Phone:972-932-5270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7094207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT0175196OtherTEXAS CONTROLLED SUBSTANCE NUMBER
TXN7094OtherTEXAS MEDICAL ASSOCIATION