# CENTRUM MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033099627
- **Authorized official:** MANUEL M LAM (PRESIDENT)
- **Authorized official phone:** (786) 348-5570

## Contact information

- **Practice address:** 4903 N MCCOLL RD UNIT D, MCALLEN, TX 78504-2310
- **Practice address phone:** (305) 266-2929
- **Mailing address:** 9250 NW 36TH ST STE 420, DORAL, FL 33178-2775
- **Mailing address phone:** (305) 266-2929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2025
- **Last updated:** 09/04/2025