Gmg Clinically Integrated Network DBA Genesis Ipa

NPI #1689298960 in Spring, Texas

Provider Information

NPI Number: 1689298960
Entity Type: Organization
Organization Name: Gmg Clinically Integrated Network DBA Genesis Ipa
Primary Specialty: Family Medicine
Enumeration Date: Jun 3, 2020
Last Updated: Jun 3, 2020

Practice Location

Address: 2255 E MOSSY OAKS RD STE 500
City: Spring
State: Texas
ZIP Code: 77389-1813
Phone: (281) 440-5300

Authorized Official

Name: DR. DAVID ELLENT, MD
Title: OWNER
Phone: (281) 961-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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