Organization Active NPI

National Medical Group

  • Clinic/Center
  • Jasper, TX
National Provider Identifier
1548457161
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NATIONAL MEDICAL GROUP
Practice address
551 State St
Jasper, TX 75951-5133
Phone
(409) 489-0505
Fax
(281) 667-3142
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Kennedy T Obanor
Title
President
Phone
(281) 216-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

551 State St
Jasper, TX 75951-5133

Mailing address

13619 Tonnochy Dr
Houston, TX 77083-6042
Phone (713) 776-9674

National Provider Directory

National Provider Directory

Locations

551 State St
Jasper, TX 75951
Phone (409) 489-0505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1548457161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13619 TONNOCHY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836042",
            "telephone_number": "713-776-9674",
            "fax_number": "281-667-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 STATE ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515133",
            "telephone_number": "409-489-0505",
            "fax_number": "281-667-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "OBANOR",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-216-2555"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.