GULF GATE DIAGNOSTIC IMAGING


Address: 1 Putnam Ave, Orange, TX 77630-2353
Phone: 4098837117

GULF GATE DIAGNOSTIC IMAGING (NPI# 1104846708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104846708
Entity Type Organization
Organization Name GULF GATE DIAGNOSTIC IMAGING
Practice Address 1 Putnam Ave
Orange
TX 77630-2353
Practice Telephone 4098837117
Practice Fax Number 4098837100
Mailing Telephone 4098837117
Mailing Fax Number 4098837100
Enumeration Date 2006-07-20
Last Update Date 2020-08-22
Authorized Official Name MR. GUSTAVO HINCIPLE (PRESIDENT OWNER)
Authorized Official Telephone 7133207415
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 1 PUTNAM AVE
City ORANGE
State TX
Zip Code 77630-2353

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City ORANGE
Zip Code 77630

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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