Provider Demographics
NPI:1215799234
Name:MERCY PHYSICIANS GROUP PLLC
Entity type:Organization
Organization Name:MERCY PHYSICIANS GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:866-439-3165
Mailing Address - Street 1:222 HIGHWAY 6 STE 100
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4994
Mailing Address - Country:US
Mailing Address - Phone:770-377-3857
Mailing Address - Fax:346-230-7336
Practice Address - Street 1:222 HIGHWAY 6 STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4994
Practice Address - Country:US
Practice Address - Phone:770-377-3857
Practice Address - Fax:346-230-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency CareGroup - Multi-Specialty