Organization
NATIONAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNEDY T OBANOR (PRESIDENT)
(281) 216-2555
Entity
Organization
Contact information
Practice address
551 STATE ST, JASPER, TX 75951-5133
(409) 489-0505
(281) 667-3142
Mailing address
13619 TONNOCHY DR, HOUSTON, TX 77083-6042
(713) 776-9674
(281) 667-3142
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
09/25/2008
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