Provider Demographics
NPI:1225268550
Name:GTS MEDICAL SUPPLY CO
Entity Type:Organization
Organization Name:GTS MEDICAL SUPPLY CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:SOFOWORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-270-1900
Mailing Address - Street 1:6601 HILLCROFT ST
Mailing Address - Street 2:105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4888
Mailing Address - Country:US
Mailing Address - Phone:713-270-1900
Mailing Address - Fax:713-270-1902
Practice Address - Street 1:6601 HILLCROFT ST
Practice Address - Street 2:105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4888
Practice Address - Country:US
Practice Address - Phone:713-270-1900
Practice Address - Fax:713-270-1902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6208730001Medicare NSC