Provider Demographics
NPI:1205230596
Name:GAZELLE HEALTHCARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:GAZELLE HEALTHCARE SOLUTIONS, LLC
Other - Org Name:CY FAIR MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-827-9990
Mailing Address - Street 1:12620 FM 1960 RD W # 121
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5364
Mailing Address - Country:US
Mailing Address - Phone:855-827-9990
Mailing Address - Fax:281-754-4656
Practice Address - Street 1:17401 VILLAGE GREEN DR
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77040-1004
Practice Address - Country:US
Practice Address - Phone:855-827-9990
Practice Address - Fax:281-754-4656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies