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NPI Code Detail

MEDICARE: G&G PROFESSIONAL SERVICES LLC

MEDICARE: G&G PROFESSIONAL SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0500XEEG Specialist/Technologist
2246ZE0600XElectroneurodiagnostic Specialist/Technologist
32472E0500XEEG Technician
4261QR0200XRadiology Clinic/Center
5293D00000XPhysiological Laboratory

General Provider Information

NPI Number : 1104418276
Entity Type Code : Organization
Provider Name (Legal Business Name) : G&G PROFESSIONAL SERVICES LLC
Provider Business Mailing Address
First Line : PO BOX 6529
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-5114
Country : US
Telephone Number : 844-212-5321
Fax Number : 214-594-9559
Provider Business Practice Location Address
First Line : 10601 CLARENCE DR STE 250
Second Line :
City : FRISCO
State : TX
Zip : 75033-3867
Country : US
Telephone Number : 844-212-5321
Fax Number : 214-594-9559
Authorized Official
Title or Position : DIRECTOR
Name : FRANK GRAY III
Credential :
Telephone Number : 844-212-5321
Provider Enumeration Date : 02/09/2021
Last Update Date : 02/09/2021

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Directions to “G&G PROFESSIONAL SERVICES LLC ” Practice Location

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