Organization
MAINLAND MULTI SPECIALTY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REBOK (GROUP VP/AO)
(615) 372-5004
Entity
Organization
Contact information
Practice address
6807 EMMETT F. LOWRY EXPRESSWAY, SUITE 101, TEXAS CITY, TX 77591
(409) 935-2930
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194700401
—
TX
Enumeration date
01/17/2008
Last updated
10/30/2020
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