| Gtg Enterprises, LLC | |
|
318 Richland West Cir Ste C Waco TX 76712-7911 | |
| (254) 776-8008 | |
| (547) 766-8922 |
| Full Name | Gtg Enterprises, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 318 Richland West Cir Ste C, Waco, Texas |
| Authorized Official Name and Position | Lisa Kirk (PRESIDENT) |
| Authorized Official Contact | 5477680082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gtg Enterprises, LLC Po Box 23421 Waco TX 76702-3421 Ph: (547) 768-0082 | Gtg Enterprises, LLC 318 Richland West Cir Ste C Waco TX 76712-7911 Ph: (254) 776-8008 |
| NPI Number | 1588240782 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588240782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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