Organization Active NPI

Gulf Gate Diagnostic Imaging

  • Clinic/Center
  • Orange, TX
National Provider Identifier
1104846708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GULF GATE DIAGNOSTIC IMAGING
Practice address
1 Putnam Ave
Orange, TX 77630-2353
Phone
(409) 883-7117
Fax
(409) 883-7100
NPI assigned
Jul 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gustavo Hinciple
Title
President Owner
Phone
(713) 320-7415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1 Putnam Ave
Orange, TX 77630-2353

Mailing address

1 Putnam Ave
Orange, TX 77630-2353
Phone (409) 883-7117

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104846708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PUTNAM AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776302353",
            "telephone_number": "409-883-7117",
            "fax_number": "409-883-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PUTNAM AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776302353",
            "telephone_number": "409-883-7117",
            "fax_number": "409-883-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF GATE DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINCIPLE",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "713-320-7415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.