Provider Demographics
NPI:1174771315
Name:CGL SOLUTIONS - MEDICAL SUPPLY
Entity type:Organization
Organization Name:CGL SOLUTIONS - MEDICAL SUPPLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:COQUICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-918-0594
Mailing Address - Street 1:PO BOX 180441
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-0441
Mailing Address - Country:US
Mailing Address - Phone:214-918-0594
Mailing Address - Fax:972-803-3538
Practice Address - Street 1:6312 SNOW RIDGE CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-3160
Practice Address - Country:US
Practice Address - Phone:214-918-0594
Practice Address - Fax:972-803-3538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment