GP Medical Management Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GP MEDICAL MANAGEMENT GROUP INC

Doing business as

Nuestra Clinica

Practice address

2634 S Carrier Pkwy Ste 105
Grand Prairie, TX 75052-5005

Phone

(972) 666-8295

NPI assigned

Jul 6, 2015

Organization subpart

Yes

Parent organization

GP MEDICAL MANAGEMENT GROUP INCAs reported in NPPES

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

Authorized official

Name

Yuko Jonah

Title

Manager

Phone

(972) 666-8295

Specialties & licenses 1

Addresses

Other names 1

• Nuestra Clinica Doing business as

Part of

GP Medical Management Group Inc

Locations

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1699158964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 S CARRIER PKWY STE 105",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525005",
            "telephone_number": "469-434-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 S CARRIER PKWY STE 105",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525005",
            "telephone_number": "972-666-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GP MEDICAL MANAGEMENT GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GP MEDICAL MANAGEMENT GROUP INC",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "JONAH",
        "authorized_official_first_name": "YUKO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-666-8295"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuestra Clinica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, 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 Sep 14, 2015; 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.