Organization Active NPI

GTR Medical Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Frisco, TX
National Provider Identifier
1295094423
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1001222 Issued in TX
Legal business name
GTR MEDICAL GROUP, LLC
Practice address
5729 Lebanon Rd Ste 144-571
Frisco, TX 75034
Phone
(210) 913-1619
Fax
(972) 432-7585
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mache Nicole Milhauser
Title
Operations Manager
Phone
(210) 913-1619

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Durable Medical Equipment & Medical Supplies 332B00000X 1001222 TX Primary

Addresses

Primary practice location

5729 Lebanon Rd Ste 144-571
Frisco, TX 75034

Mailing address

5729 Lebanon Rd Ste 144-571
Frisco, TX 75034-7260
Phone (210) 913-1619

Other identifiers 1

IdentifierTypeStateIssuer
1001222OtherTXDEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory
Tax ID family
GTR Medical Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5729 Lebanon Rd
Ste 144571
Frisco, TX 75034
Phone (210) 913-1619

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1295094423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 LEBANON RD STE 144-571",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347260",
            "telephone_number": "210-913-1619",
            "fax_number": "972-432-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5729 LEBANON RD STE 144-571",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "210-913-1619",
            "fax_number": "972-432-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GTR MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "MILHAUSER",
        "authorized_official_first_name": "MACHE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "210-913-1619"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "1001222",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.