Organization Active NPI

GBT Medical Supply, LP

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Lewisville, TX
National Provider Identifier
1942290192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
0071456 Issued in TX
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.