Organization
SMG SIGNATURE MEDICAL GROUP
Active
Organization
SMG SIGNATURE MEDICAL GROUP
Active
Other names
TGMA Bay City Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY SLACK (CEO)
(979) 282-1600
Entity
Organization
Contact information
Practice address
720 AVENUE F N, BAY CITY, TX 77414-9573
(979) 282-6800
(979) 282-6805
Mailing address
PO BOX 841648, DALLAS, TX 75284-1648
(979) 282-6800
(979) 282-6805
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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