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Organization
GMG CLINICALLY INTEGRATED NETWORK DBA GENESIS IPA
Active
Organization
GMG CLINICALLY INTEGRATED NETWORK DBA GENESIS IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ELLENT MD (OWNER)
(281) 961-4100
Entity
Organization
Contact information
Practice address
2255 E MOSSY OAKS RD STE 500, SPRING, TX 77389-1813
(281) 440-5300
Mailing address
2255 E MOSSY OAKS RD STE 500, SPRING, TX 77389-1813
(281) 440-5300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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