MEDICARE: 2G MEDICAL GROUP INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MT18711	TX
2	171100000X	Acupuncturist	AC805	TX

General Provider Information

NPI Number	:	1518225663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2G MEDICAL GROUP INCORPORATED

Provider Business Mailing Address
First Line	:	2030 NORTH LOOP W STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8112
Country	:	US
Telephone Number	:	713-476-0421
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 NORTH LOOP W STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8112
Country	:	US
Telephone Number	:	713-476-0421
Fax Number	:

Authorized Official
Title or Position	:	ADULT NURSE PRACTITIONER
Name	:	MRS. CARTESSA DANETTE KNATT
Credential	:	NP-C
Telephone Number	:	713-476-0421

Provider Enumeration Date	:	04/26/2012
Last Update Date	:	04/26/2012

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Directions to “2G MEDICAL GROUP INCORPORATED ” Practice Location

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