Provider Demographics
NPI:1215735733
Name:RICH MANAGEMENT GROUP, PLLC
Entity type:Organization
Organization Name:RICH MANAGEMENT GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JACI
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP
Authorized Official - Phone:432-233-1965
Mailing Address - Street 1:4517 SANTA ROSA DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-2260
Mailing Address - Country:US
Mailing Address - Phone:432-233-1965
Mailing Address - Fax:
Practice Address - Street 1:4517 SANTA ROSA DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-2260
Practice Address - Country:US
Practice Address - Phone:432-233-1965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center