Provider Demographics
NPI:1215488085
Name:S & G MEDICAL SERVICES PLLC
Entity type:Organization
Organization Name:S & G MEDICAL SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:915-231-6224
Mailing Address - Street 1:12350 MONTWOOD DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-5694
Mailing Address - Country:US
Mailing Address - Phone:915-231-6224
Mailing Address - Fax:915-231-6710
Practice Address - Street 1:12350 MONTWOOD DR
Practice Address - Street 2:SUITE 300
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-5694
Practice Address - Country:US
Practice Address - Phone:915-231-6224
Practice Address - Fax:915-231-6710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty