SMG Signature Medical Group

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SMG SIGNATURE MEDICAL GROUP

Doing business as

TGMA Wharton Rural Health Clinic

Practice address

2022 Regional Medical Dr
Suite 1319
Wharton, TX 77488-7231

Phone

(979) 282-6800

Fax

(979) 282-6805

NPI assigned

Dec 19, 2011

Last updated

Dec 19, 2011By 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

Randy Slack

Title

Ceo

Phone

(979) 282-6100

Specialties & licenses 1

Addresses

Other names 1

• TGMA Wharton 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

  dba TGMA Bay City Rural Health Clinic

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

  dba TGMA El Campo Rural Health Clinic

  • Rural Health Clinic/Center
  • El Campo, TX
  • NPI 1306114384
  NPD tax ID

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1841569985",
    "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": "2022 REGIONAL MEDICAL DR",
            "address_2": "SUITE 1319",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774887231",
            "telephone_number": "979-282-6800",
            "fax_number": "979-282-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMG SIGNATURE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-282-6100"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TGMA Wharton Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Signature Gulf Coast Medical Center
• Stacey Silvas
• Simply RX LLC
• Skyline Healthcare Services, Inc.
• SMG Signature Medical Group (Gulf Coast Medical Associates)
• Gerald D Soderstrom, PH.D.
• South Texas Medical Clinics, P.a.
• South Texas Medical Clinics, P.a. Dmerc
• South Texas Medical Clinics, P.a. Epsdt
• St. Christina's Medical Transportation LLC

• Rural Health Clinic/Center in Wharton, TX
• Providers in Wharton, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.