NPI 1679717763 · live from the CMS NPI Registry
2920 Medical Managment Group, LLC
Emergency Medical Technician, Basic in Spring, TX. National Provider Identifier 1679717763, active.
NPI record
| NPI | 1679717763 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medical Technician, Basic 146N00000X |
| Practice location | 6225 Fm 2920, Ste 150, Spring, TX 77379 |
| Practice phone | 281-257-0404 |
| Mailing address | 6225 Fm 2920, Ste 100, Spring, TX 77379 |
| Enumerated | April 21, 2009 |
| Last updated | October 9, 2014 |
| Authorized official | Sushma Gorrela, M.D. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | — |
| Internal Medicine | 207R00000X | — |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | — |
| Anesthesiology | 207L00000X | — |
| Emergency Medical Technician, Basic primary | 146N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.