Healthcare Provider Details

I. General information

NPI: 1932667821
Provider Name (Legal Business Name): RMG FAMILY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2019
Last Update Date: 07/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 N SAM HOUSTON PKWY E STE 430
HOUSTON TX
77060-4039
US

IV. Provider business mailing address

238 S EGRET BAY BLVD STE 235
LEAGUE CITY TX
77573-2682
US

V. Phone/Fax

Practice location:
  • Phone: 832-230-4817
  • Fax: 832-781-4342
Mailing address:
  • Phone: 409-599-9934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RISPBA MCCRAY-GARRISON
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 409-599-9934