| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 9032555834 |
|---|---|
| Medicare Enrollment ID | O20240315000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588240782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Helen J Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831208073 PECOS PAC ID: 4183725591 Enrollment ID: I20070728000092 |
| Provider Name | Lisa J Kirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578562146 PECOS PAC ID: 8123017308 Enrollment ID: I20100921000573 |
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