Guardian Angel Medical Supply Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

GUARDIAN ANGEL MEDICAL SUPPLY INC.

Practice address

1720 Regal Row
Ste.226
Dallas, TX 75235-2299

Phone

(972) 572-3455

Fax

(972) 709-2519

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Arnulfo Gonzalez

Title

President

Phone

(972) 572-3455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407993140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 REGAL ROW",
            "address_2": "STE.226",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352299",
            "telephone_number": "972-572-3455",
            "fax_number": "972-709-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 REGAL ROW",
            "address_2": "STE.226",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352299",
            "telephone_number": "972-572-3455",
            "fax_number": "972-709-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ARNULFO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-572-3455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Dallas, TX
• Providers in Dallas, TX by specialty
• Case Manager/Care Coordinator in Texas

• 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.