Manuel Griego Jr DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F1604 Issued in TX

Legal business name

MANUEL GRIEGO JR DO PA

Doing business as

One Main Medical Centre

Practice address

1201 Main St
Suite P350
Dallas, TX 75202-3908

Phone

(469) 621-6662

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Manuel Griego Jr., DO

Title

Ceo/President

Phone

(214) 580-7277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• One Main Medical Centre Doing business as

Locations

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1235338401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 MAIN ST",
            "address_2": "SUITE 905",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024014",
            "telephone_number": "214-580-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "address_2": "SUITE P350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752023908",
            "telephone_number": "469-621-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL GRIEGO JR DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "GRIEGO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "214-580-7277",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F1604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000HL68",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Main Medical Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Mantil, DO
• Emmanuel Cempron Mantilla Jr., DO
• Parvez Mantry, MD
• Elizabeth Mantsch
• Manuel Griego Jr DO PA
• Manuel Griego Jr DO PA
• Manuel Griego Jr. DO PA
• Manuel Griego Jr. DO PA
• Manuel Griego, Jr. D.O., P.a.
• Manuel Tellez, D.O., P.a.

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.