Active NPI
GBT Medical Supply, LP
- Parenteral & Enteral Nutrition Supplies (DME)
- Lewisville, TX
National Provider Identifier
1942290192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 0071456
- Legal business name
- GBT MEDICAL SUPPLY, LP
- Practice address
- 1500 Waters Ridge Dr
Suite 102
Lewisville, TX 75057-6011 - Phone
- (972) 899-0605
- Fax
- (972) 899-0615
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lori Kathleen Renfro
- Title
- VP Operations
- Phone
- (972) 899-0605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0071456 | TX | Primary |
Addresses
Primary practice location
1500 Waters Ridge Dr
Suite 102
Lewisville, TX 75057-6011
Mailing address
1500 Waters Ridge Dr
Suite 102
Lewisville, TX 75057-6011
Phone (972) 899-0605
National Provider Directory
National Provider DirectoryLocations
1500 Waters Ridge Dr
Ste 102
Lewisville, TX 75057
Phone (972) 899-0605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942290192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WATERS RIDGE DR",
"address_2": "SUITE 102",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576011",
"telephone_number": "972-899-0605",
"fax_number": "972-899-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WATERS RIDGE DR",
"address_2": "SUITE 102",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576011",
"telephone_number": "972-899-0605",
"fax_number": "972-899-0615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GBT MEDICAL SUPPLY, LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RENFRO",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "KATHLEEN",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "972-899-0605",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "0071456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.