1488 Family Medicine Group, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

N6330 Issued in TX

Legal business name

1488 FAMILY MEDICINE GROUP, PLLC

Practice address

2400 FM 1488
Suite 400
Conroe, TX 77384

Phone

(936) 270-8008

Fax

(936) 270-8009

NPI assigned

Aug 28, 2016

Last updated

Aug 30, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gunther Groning, M.D.

Title

Sole Member - Manager

Phone

(936) 270-8008

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14160/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1023564325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 RILEY FUZZELL RD",
            "address_2": "#120 PMB 29",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864188",
            "telephone_number": "936-270-8008",
            "fax_number": "936-270-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FM 1488",
            "address_2": "SUITE 400",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-270-8008",
            "fax_number": "936-270-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1488 FAMILY MEDICINE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "GRONING",
        "authorized_official_first_name": "GUNTHER",
        "authorized_official_title_or_position": "SOLE MEMBER - MANAGER",
        "authorized_official_telephone_number": "936-270-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N6330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.