Organization
GTR MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACHE NICOLE MILHAUSER (OPERATIONS MANAGER)
(210) 913-1619
Entity
Organization
Contact information
Practice address
5729 LEBANON RD STE 144-571, FRISCO, TX 75034
(210) 913-1619
(972) 432-7585
Mailing address
5729 LEBANON RD STE 144-571, FRISCO, TX 75034-7260
(210) 913-1619
(972) 432-7585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001222
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001222
DEPARTMENT OF HEALTH
TX
Enumeration date
05/08/2012
Last updated
08/20/2018
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