Organization
GBT MEDICAL SUPPLY, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI KATHLEEN RENFRO (VP OPERATIONS)
(972) 899-0605
Entity
Organization
Contact information
Practice address
1500 WATERS RIDGE DR, SUITE 102, LEWISVILLE, TX 75057-6011
(972) 899-0605
(972) 899-0615
Mailing address
1500 WATERS RIDGE DR, SUITE 102, LEWISVILLE, TX 75057-6011
(972) 899-0605
(972) 899-0615
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0071456
TX
Other
Enumeration date
10/27/2005
Last updated
08/22/2020
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