MEDICARE: GK DREAMS 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
1	332BX2000X	Oxygen Equipment & Supplies (DME)	0098777	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427251933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GK DREAMS LLC

Provider Business Mailing Address
First Line	:	300 THUNDERBIRD DR STE 3
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-3832
Country	:	US
Telephone Number	:	915-351-2950
Fax Number	:	915-271-8013

Provider Business Practice Location Address
First Line	:	300 THUNDERBIRD DR STE 3
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912
Country	:	US
Telephone Number	:	915-351-2950
Fax Number	:	915-271-8013

Authorized Official
Title or Position	:	OWNER
Name	:	RAUL ARTURO TOLENTINO
Credential	:
Telephone Number	:	915-351-2950

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	02/11/2026

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Directions to “GK DREAMS LLC ” Practice Location

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