Organization
R G MEDICAL PLLC
Active
Parent organization
UNIVERSAL MEDICAL MANAGEMENT GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSAL MEDICAL MANAGEMENT GROUP LLC
Authorized official
BYRON GRIFFITH (VICE PRESIDENT)
(817) 687-1501
Entity
Organization
Contact information
Practice address
5001 BRENTWOOD STAIR RD, SUITE 107, FORT WORTH, TX 76112-2801
(817) 687-1501
(817) 687-1500
Mailing address
5001 BRENTWOOD STAIR RD, SUITE 107, FORT WORTH, TX 76112-2801
(817) 687-1501
(817) 687-1500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D7045
TX
Other
Enumeration date
05/13/2008
Last updated
06/11/2008
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