Provider Demographics
NPI:1225880099
Name:GALAXIA GAZE INC
Entity Type:Organization
Organization Name:GALAXIA GAZE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:UNKNOWN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-449-5724
Mailing Address - Street 1:15270 VOSS RD APT 937
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4784
Mailing Address - Country:US
Mailing Address - Phone:346-449-5724
Mailing Address - Fax:
Practice Address - Street 1:15270 VOSS RD APT 937
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-4784
Practice Address - Country:US
Practice Address - Phone:346-449-5724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies