# 2920 MEDICAL MANAGMENT GROUP, LLC

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

## Provider details

- **NPI number:** 1679717763
- **Authorized official:** SUSHMA VEERA GORRELA M.D. (M.D.)
- **Authorized official phone:** (281) 257-0404

## Contact information

- **Practice address:** 6225 FM 2920, STE 150, SPRING, TX 77379
- **Practice address phone:** (281) 257-0404
- **Practice address fax:** (281) 605-4563
- **Mailing address:** 6225 FM 2920, STE 100, SPRING, TX 77379
- **Mailing address phone:** (281) 257-0404
- **Mailing address fax:** (281) 605-4563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | — | NULL | Yes |
| 146N00000X | Basic Emergency Medical Technician | — | — | Yes |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | — |

## Other

- **Enumeration date:** 04/21/2009
- **Last updated:** 10/09/2014