Provider Demographics
NPI:1356239446
Name:EMINENT MEDICAL GROUP LLC
Entity type:Organization
Organization Name:EMINENT MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-793-0270
Mailing Address - Street 1:1351 W GEORGE BUSH HWY
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1133
Mailing Address - Country:US
Mailing Address - Phone:469-910-8800
Mailing Address - Fax:469-910-8801
Practice Address - Street 1:1351 W GEORGE BUSH HWY
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1133
Practice Address - Country:US
Practice Address - Phone:469-910-8800
Practice Address - Fax:469-910-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty