2920 Medical Managment Group, LLC

NPI #1679717763 in Spring, Texas

Provider Information

NPI Number: 1679717763
Entity Type: Organization
Organization Name: 2920 Medical Managment Group, LLC
Primary Specialty: Emergency Medical Technician, Basic
Enumeration Date: Apr 21, 2009
Last Updated: Oct 9, 2014

Practice Location

Address: 6225 FM 2920
Address 2: STE 150
City: Spring
State: Texas
ZIP Code: 77379
Phone: (281) 257-0404

Authorized Official

Name: SUSHMA VEERA GORRELA, M.D.
Title: M.D.
Phone: (281) 257-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Internal Medicine	207R00000X
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X
Anesthesiology	207L00000X
Emergency Medical Technician, Basic	146N00000X	Primary

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