Dr. G Clinic, Pllc

LBN: Dr. G Clinic, Pllc
Dr. G Clinic, Pllc is an health care organization with primary practice located at 4913 Rufe Snow Dr Ste 102 , North Richland Hills TX 76180-7856. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dr. G Clinic, Pllc can be contacted via phone (275) 636-4877, or through Gonzalez, Mario G via phone (575) 636-4877.

Contact Information

Primary practice address
4913 Rufe Snow Dr Ste 102 North Richland Hills TX 76180-7856
Phone: (275) 636-4877
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Mario G Doctor of Medicine (MD)
Phone: (575) 636-4877

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P4959 Texas

Profile Details

NPI number 1588193452
LBN Legal business name Dr. G Clinic, Pllc
DBA Doing business as
Authorized official Gonzalez, Mario G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2017
Last updated Jun 5th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588193452 NPPES
Texas MEDICAID 329998401

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