Organization Name: | ACG MEDICAL SUPPLY INCORPORATED |
NPI Number: | 1972506350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID GARY GAMPHER (PRESIDENT) |
Mailing Address: | 3502a Lakeview Pkwy Rowlett |
State: | TX US |
Postal Code: | 750884005 |
Phone Number: | 9724630737 |
Fax Number: | 9724630920 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0040125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |