# GTR MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295094423
- **Authorized official:** MACHE NICOLE MILHAUSER (OPERATIONS MANAGER)
- **Authorized official phone:** (210) 913-1619

## Contact information

- **Practice address:** 5729 LEBANON RD STE 144-571, FRISCO, TX 75034
- **Practice address phone:** (210) 913-1619
- **Practice address fax:** (972) 432-7585
- **Mailing address:** 5729 LEBANON RD STE 144-571, FRISCO, TX 75034-7260
- **Mailing address phone:** (210) 913-1619
- **Mailing address fax:** (972) 432-7585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1001222 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/08/2012
- **Last updated:** 08/20/2018