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GULF COAST MED SUPPLIES LLC
NPI 1992177042
Durable Medical Equipment & Medical Supplies in Lake Jackson, TX

Active since October 28, 2015
107 W WAY ST STE 20, LAKE JACKSON, TX 77566(979) 266-9497(979) 266-9507 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Gulf Coast Med Supplies Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GULF COAST MED SUPPLIES LLC (NPI 1992177042) is a healthcare organization registered as a durable medical equipment & medical supplies in Lake Jackson, Texas and active in the NPI registry since October 2015. The organization lists Holly Wagner, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1992177042
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGULF COAST MED SUPPLIES LLC
Location Address107 W WAY ST STE 20Lake Jackson, TX 77566-5238
Mailing Address107 W Way St Ste 20Lake Jackson, TX 77566-5238 · (979) 266-9497 · Fax (979) 266-9507
Phone(979) 266-9497
Fax(979) 266-9507
Organization SubpartNo
Authorized OfficialHolly WagnerBilling Manager · (979) 266-9497
Enumeration DateOctober 28, 2015
✔ NPI 1992177042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
107 W WAY ST STE 20, Lake Jackson, TX 77566
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gulf Coast Med Supplies LLC's NPI number?

The NPI number for Gulf Coast Med Supplies LLC is 1992177042. It was assigned to this organization in the NPPES registry on October 28, 2015.

Where is Gulf Coast Med Supplies LLC located?

Gulf Coast Med Supplies LLC is located at 107 W Way St Ste 20, Lake Jackson, TX 77566. The listed phone number is (979) 266-9497.

What is Gulf Coast Med Supplies LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Gulf Coast Med Supplies LLC was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.