# R G MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSAL MEDICAL MANAGEMENT GROUP LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871760421
- **Legal business name:** UNIVERSAL MEDICAL MANAGEMENT GROUP LLC
- **Authorized official:** BYRON GRIFFITH (VICE PRESIDENT)
- **Authorized official phone:** (817) 687-1501

## Contact information

- **Practice address:** 5001 BRENTWOOD STAIR RD, SUITE 107, FORT WORTH, TX 76112-2801
- **Practice address phone:** (817) 687-1501
- **Practice address fax:** (817) 687-1500
- **Mailing address:** 5001 BRENTWOOD STAIR RD, SUITE 107, FORT WORTH, TX 76112-2801
- **Mailing address phone:** (817) 687-1501
- **Mailing address fax:** (817) 687-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | D7045 | TX | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 06/11/2008