Basic Information
| Provider Information | |||||||||
| NPI: | 1780275867 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GBS DIAGNOSTIC SERVICES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8528 DAVIS BLVD STE 134 | ||||||||
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| City: | NORTH RICHLAND HILLS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761828302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4695281169 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6121 N STATE HIGHWAY STE 225 | ||||||||
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| City: | IRVING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750382265 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4695281169 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2021 | ||||||||
| LastUpdateDate: | 10/03/2022 | ||||||||
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| AuthorizedOfficialLastName: | GOTTLIEB | ||||||||
| AuthorizedOfficialFirstName: | MICHELLE | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4695281169 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 10/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0117X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine |
No ID Information.