SMG Signature Medical Group

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SMG SIGNATURE MEDICAL GROUP

Practice address

707 N Mechanic St
El Campo, TX 77437-3447

Phone

(979) 282-6800

Fax

(979) 282-6805

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Randy Slack

Title

Ceo

Phone

(979) 282-1600

Specialties & licenses 1

Addresses

Other names 1

• TGMA El Campo Rural Health Clinic Doing business as

Tax ID family

SMG Signature Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• SMG Signature Medical Group

  • Rural Health Clinic/Center
  • Bay City, TX
  • NPI 1114295193
  NPD tax ID
• SMG Signature Medical Group

  • Rural Health Clinic/Center
  • Wharton, TX
  • NPI 1841569985
  NPD tax ID

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1306114384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841648",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841648",
            "telephone_number": "979-282-6800",
            "fax_number": "979-282-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MECHANIC ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774373447",
            "telephone_number": "979-282-6800",
            "fax_number": "979-282-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMG SIGNATURE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-282-1600"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TGMA El Campo Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Select Physical Therapy Holdings Inc
• John T Shepherd, DDS
• Patience M Sklar, CPHT
• Courtney Marie Skow
• Deborah Lynn Smaistrla, LMT
• Smile Studios PLLC
• Hunter Wyatt Smith, DO
• South Texas Latch LLC
• South Texas Medical Clinics, P.a.
• Beryl D Southall, LPC

• All providers in El Campo, TX
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.