Gulf Gate Diagnostic Imaging

NPI #1104846708 in Orange, Texas

Provider Information

NPI Number: 1104846708
Entity Type: Organization
Organization Name: Gulf Gate Diagnostic Imaging
Primary Specialty: Clinic/Center
Enumeration Date: Jul 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1 PUTNAM AVE
City: Orange
State: Texas
ZIP Code: 77630-2353
Phone: (409) 883-7117

Authorized Official

Name: MR. GUSTAVO HINCIPLE
Title: PRESIDENT OWNER
Phone: (713) 320-7415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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