Organization · NPI-2
2920 Medical Managment Group, LLC
Emergency Medical Technician, Basic · Spring, TX
NPI number1679717763
StatusActive
Last updated in NPPESOct 9, 2014
Details
- NPI
- 1679717763
- Entity type
- Organization (NPI-2)
- Legal business name
- 2920 Medical Managment Group, LLC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2009
- Last updated
- Oct 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | |
| 207L00000X | Anesthesiology | – | – |
Practice location
6225 Fm 2920Ste 150
Spring, TX 77379
Phone 281-257-0404 · Fax 281-605-4563
Mailing address
6225 Fm 2920Ste 100
Spring, TX 77379
Phone 281-257-0404 · Fax 281-605-4563
Authorized official
Sushma Veera Gorrela
M.D.
2812570404
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