MEDICARE: GTG ENTERPRISES, LLC

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	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1588240782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GTG ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 23421
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76702-3421
Country	:	US
Telephone Number	:	547-768-0082
Fax Number	:	254-776-6892

Provider Business Practice Location Address
First Line	:	318 RICHLAND WEST CIR STE C
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-7911
Country	:	US
Telephone Number	:	254-776-8008
Fax Number	:	547-766-8922

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LISA KIRK
Credential	:	DO
Telephone Number	:	547-768-0082

Provider Enumeration Date	:	03/19/2021
Last Update Date	:	02/27/2024

Similar Medicare Providers

1508714403 — HAPPY HEALTH FUNCTIONAL MEDICINE PLLC
Practice Location Address:

318 RICHLAND WEST CIR
WACO, TX
76712-7911

Practice Phone: 254-776-8009
Practice Fax:

1013913375 — DONNA G MILLER DDS PA
Practice Location Address:

7911 WOODWAY DRIVE
WACO, TX
76712

Practice Phone: 254-772-3632
Practice Fax: 254-772-7856

1689682874 — DR. DONNA G MILLER DDS
Practice Location Address:

7911 WOODWAY DRIVE
WACO, TX
76712-3866

Practice Phone: 254-772-3632
Practice Fax: 254-772-7856

1346367612 — MS. D. MICHELLE HINDS DDS
Practice Location Address:

7911 WOODWAY DR
WACO, TX
76712-3866

Practice Phone: 254-772-3632
Practice Fax: 254-772-7856

1194254714 — DR. AUSTIN REVVIE GREEN DDS
Practice Location Address:

7911 WOODWAY DR
WACO, TX
76712-3866

Practice Phone: 254-772-3632
Practice Fax:

1235735218 — CREEKWOOD DENTAL ARTS, PLLC
Practice Location Address:

7911 WOODWAY DR
WACO, TX
76712-3866

Practice Phone: 254-772-3632
Practice Fax: 254-772-7856

Directions to “GTG ENTERPRISES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.