Greater Medical Mission Group PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREATER MEDICAL MISSION GROUP PLLC

Doing business as

Mission Medical Group

Practice address

426 Castroville Rd Ste 3
San Antonio, TX 78207

Phone

(877) 664-7201

Fax

(800) 218-7489

NPI assigned

May 17, 2018

Last updated

Jun 13, 2018By 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

Ughwanmwan T Efeovbokhan, GNP-BC

Title

Sole Member

Phone

(210) 908-9358

Specialties & licenses 1

Addresses

Other names 1

• Mission Medical Group Doing business as

Locations

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1245720911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11631 CAMP REAL LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536331",
            "telephone_number": "210-908-9358",
            "fax_number": "210-239-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 CASTROVILLE RD STE 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78207",
            "telephone_number": "877-664-7201",
            "fax_number": "800-218-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MEDICAL MISSION GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "EFEOVBOKHAN",
        "authorized_official_first_name": "UGHWANMWAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "210-908-9358",
        "authorized_official_credential": "GNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Great White Dental PLLC
• Greater Help Hospice LLC
• Greater Houston Emergency Physicians PLLC
• Greater Houston Emergency Physicians PLLC
• Greater Learning, LP
• Greater Physician Choice LLC
• Greater Sa House Calls, LLC
• Greater San Antonio Emergency Physicians, PA
• Greater San Antonio Transportation Company (Yellow Cab)
• Greater Texas Multispecialty and Oncology PLLC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, 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 Jun 13, 2018; 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.