Little River Medical Group
NPI #1124422662 in Georgetown, Texas
Provider Information
- NPI Number
- 1124422662
- Entity Type
- Organization
- Organization Name
- Little River Medical Group
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 13, 2014
- Last Updated
- Oct 13, 2014
Practice Location
- Address
- 1512 LEANDER RD
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-8801
- Phone
- (512) 948-7611
Authorized Official
- Name
- JEFFREY P MADISON
- Title
- CEO
- Phone
- (512) 446-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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