NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

2920 MEDICAL MANAGMENT GROUP, LLC
6225 FM 2920
STE 150
SPRING, TX77379
 Phone: 281-257-0404
 Fax: 281-605-4563
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for 2920 MEDICAL MANAGMENT GROUP, LLC

NPI Number 1679717763
LBN Legal business name 2920 MEDICAL MANAGMENT GROUP, LLC
Authorized official SUSHMA GORRELA - (M.D.)
Entity Organization
Organization subpart 1 No
Enumeration date 04/21/2009
Last updated 10/09/2014 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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