Gsg Pride Healthcare LLC

NPI #1437622701 in Pendleton, Indiana

Provider Information

NPI Number
1437622701
Entity Type
Organization
Organization Name
Gsg Pride Healthcare LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 9, 2019
Last Updated
Jan 30, 2020

Practice Location

Address
8391 S SHADY TRAIL DR
State
Indiana
ZIP Code
46064-8652
Phone
(317) 507-2395

Authorized Official

Name
TARIS D GONZALEZ, NP
Title
NURSE PRACTITIONER/OWNER
Phone
(317) 743-0009

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health
Clinic/Center - Primary CarePrimary Care

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