R G Medical PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D7045 Issued in TX

Legal business name

R G MEDICAL PLLC

Practice address

5001 Brentwood Stair Rd
Suite 107
Fort Worth, TX 76112-2801

Phone

(817) 687-1501

Fax

(817) 687-1500

NPI assigned

May 13, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

UNIVERSAL MEDICAL MANAGEMENT GROUP LLCAs reported in NPPES

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

Authorized official

Name

Byron Griffith

Title

Vice President

Phone

(817) 687-1501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1871760421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BRENTWOOD STAIR RD",
            "address_2": "SUITE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122801",
            "telephone_number": "817-687-1501",
            "fax_number": "817-687-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 BRENTWOOD STAIR RD",
            "address_2": "SUITE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122801",
            "telephone_number": "817-687-1501",
            "fax_number": "817-687-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R G MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSAL MEDICAL MANAGEMENT GROUP LLC",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-687-1501"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "D7045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.