GGG MEDICAL PLLC NPI 1790264877

NPI Information

NPI: 1790264877
Provider Name: GGG MEDICAL PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
870 N COIT RD STE 2660
RICHARDSON, TX
ZIP 75080
Phone: (972) 235-2459
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GGG MEDICAL PLLC is a primary care clinic center in Richardson, TX. GGG MEDICAL PLLC NPI is 1790264877. The provider is registered as an organization entity type.

The provider's business location address is:

870 N COIT RD STE 2660
RICHARDSON, TX
ZIP 75080-215
Phone: (972) 235-2459
Fax: (972) 235-9435

The provider's authorized official is Vladimir Grebennikov .
The authorized official title is Owner and has the following contact phone number (972) 495-4926.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 8/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	K9291	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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