Southern Physician Group Management Llc

LBN: Southern Physician Group Management Llc
Southern Physician Group Management Llc is an health care organization with primary practice located at 1204 N Mound St , Nacogdoches TX 75961-4027. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Southern Physician Group Management Llc can be contacted via phone (936) 564-4611, or through Douglass, Grant via phone (361) 729-0646.

Contact Information

Primary practice address
1204 N Mound St Nacogdoches TX 75961-4027
Phone: (936) 564-4611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Douglass, Grant
Phone: (361) 729-0646

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1770162695
LBN Legal business name Southern Physician Group Management Llc
DBA Doing business as
Authorized official Douglass, Grant
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2021
Last updated Jul 26th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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