MEDICARE: GTD MEDICAL INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	C17745	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies	40845	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205952694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GTD MEDICAL INC.

Provider Business Mailing Address
First Line	:	830 SOUTH MASON ROAD
Second Line	:	SUITE B1
City	:	KATY
State	:	TX
Zip	:	77450-3863
Country	:	US
Telephone Number	:	281-392-5400
Fax Number	:	281-392-6096

Provider Business Practice Location Address
First Line	:	830 SOUTH MASON ROAD
Second Line	:	SUITE B1
City	:	KATY
State	:	TX
Zip	:	77450-3863
Country	:	US
Telephone Number	:	281-392-5400
Fax Number	:	281-392-6096

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. GEORGE RUSSELL MORRISON JR.
Credential	:	BOCCOF
Telephone Number	:	281-392-5400

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	06/28/2011

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Directions to “GTD MEDICAL INC. ” Practice Location

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