Organization
AMERICAN MEDICAL GROUP PA
Active
Other names
Carefirst Family and Industrial Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY LEON UNDERWOOD D.O. (DOCTOR/OWNER)
(903) 455-8000
Entity
Organization
Contact information
Practice address
3800 JOE RAMSEY BLVD, STE A, GREENVILLE, TX 75402-6486
(903) 455-8000
(903) 454-3577
Mailing address
P.O. BOX 911, GREENVILLE, TX 75403-0911
(903) 455-8000
(903) 454-3577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G2871
TX
Other
Enumeration date
10/30/2007
Last updated
12/28/2010
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