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Organization
GTG ENTERPRISES, LLC
Active
Organization
GTG ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KIRK DO (PRESIDENT)
(547) 768-0082
Entity
Organization
Contact information
Practice address
318 RICHLAND WEST CIR STE C, WACO, TX 76712-7911
(254) 776-8008
(547) 766-8922
Mailing address
PO BOX 23421, WACO, TX 76702-3421
(547) 768-0082
(254) 776-6892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/19/2021
Last updated
02/27/2024
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