SMG SIGNATURE MEDICAL GROUP (NPI# 1306114384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306114384 |
Entity Type | Organization |
Organization Name | SMG SIGNATURE MEDICAL GROUP |
Other Organization Name | TGMA EL CAMPO RURAL HEALTH CLINIC |
Practice Address |
707 N Mechanic St El Campo TX 77437-3447 |
Mailing Address |
Po Box 841648 Dallas TX 75284-1648 |
Practice Telephone | 9792826800 |
Practice Fax Number | 9792826805 |
Mailing Telephone | 9792826800 |
Mailing Fax Number | 9792826805 |
Enumeration Date | 2011-12-06 |
Last Update Date | 2011-12-06 |
Authorized Official Name | RANDY SLACK (CEO) |
Authorized Official Telephone | 9792821600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
TGMA El Campo Rural Health Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841569985 | Smg Signature Medical Group | Clinic/Center | 2022 Regional Medical Dr, Suite 1319, Wharton, TX 77488-7231 | 2011-12-19 |
1114295193 | Smg Signature Medical Group | Clinic/Center | 720 Avenue F N, Bay City, TX 77414-9573 | 2011-12-06 |
1760652978 | Smg Signature Medical Group | Surgery | 2022 Regional Medical Drive, Suite 1319, Wharton, TX 77488 | 2008-03-04 |
Street Address |
707 N MECHANIC ST |
City | EL CAMPO |
State | TX |
Zip Code | 77437-3447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851571483 | Laurie Hulsman, D. O., P. A. | Family Medicine | 707 N Mechanic St, El Campo, TX 77437-3447 | 2007-11-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801407671 | Chau Dinh | Pharmacist | 203 North Mechanic St, El Campo, TX 77437 | 2020-08-13 |
1043454697 | Lifechek Rosenberg LLC | Pharmacy | 3735 Fm 2765 Space M, El Campo, TX 77437 | 2009-04-27 |
1477769305 | Fort Bend Family Health Center, Inc. | Clinic/Center | 505 Forester, El Campo, TX 77437 | 2007-05-15 |
1689723983 | John L Richards | Dentist | 105 N Washington, El Campo, TX 77437 | 2007-01-09 |
1194889931 | Brian M Swenson | Dentist | 105 N Washington St, El Campo, TX 77437 | 2006-12-19 |
1790860930 | Ross Wyatt Anderson | Dentist | 1106 North Mechanic Street, El Campo, TX 77437 | 2006-10-26 |
1144339565 | H-e-b, Lp | Clinical Medical Laboratory | 306 N Mechanic St, El Campo, TX 77437 | 2006-08-30 |
1376565200 | El Campo Professional Pharmacy | Pharmacy | 1264 N. Mechanic St., El Campo, TX 77437 | 2006-07-23 |
1407899875 | Ronald Jay Cochran | Dermatology | 1918 West Loop, El Campo, TX 77437 | 2006-06-14 |
1194768408 | Scott Lewis Stephenson | Chiropractor | 1406 North Mechanic St, El Campo, TX 77437 | 2006-06-14 |
Find all providers in zip 77437 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427334077 | El Campo Memorial Hospital | Clinic/Center | 305 Sandy Corner Rd, El Campo, TX 77437-9535 | 2011-10-27 |
1568483931 | West Wharton County Hospital District | Clinic/Center | 305 Sandy Corner Rd, El Campo, TX 77437-9693 | 2006-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SMG SIGNATURE MEDICAL GROUP.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.