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AMERICAN MEDICAL GROUP PA NPI 1942489521


NPI Information

NPI: 1942489521
Provider Name: AMERICAN MEDICAL GROUP PA

Doing Business As: CAREFIRST FAMILY AND INDUSTRIAL MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0967665

Address:
3800 JOE RAMSEY BLVD
STE A
GREENVILLE, TX
ZIP 75402
Phone: (903) 455-8000
Get Directions

AMERICAN MEDICAL GROUP PA is a family medicine in Greenville, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMERICAN MEDICAL GROUP PA NPI is 1942489521. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carefirst Family And Industrial Medicine.

The provider's business location address is:

3800 JOE RAMSEY BLVD
STE A
GREENVILLE, TX
ZIP 75402-486
Phone: (903) 455-8000
Fax: (903) 454-3577

The provider's authorized official is Henry Leon Underwood .
The authorized official title is Doctor/owner and has the following contact phone number (903) 455-8000.

The CLIA number assigned to this NPI record is 45D0967665 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 12/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG2871TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100U86MMEDICARE PINTEXAS
2A67745MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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