Organization
2920 MEDICAL MANAGMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHMA VEERA GORRELA M.D. (M.D.)
(281) 257-0404
Entity
Organization
Contact information
Practice address
6225 FM 2920, STE 150, SPRING, TX 77379
(281) 257-0404
(281) 605-4563
Mailing address
6225 FM 2920, STE 100, SPRING, TX 77379
(281) 257-0404
(281) 605-4563
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
04/21/2009
Last updated
10/09/2014
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