Provider Demographics
NPI:1760254122
Name:CONTINUUM MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:CONTINUUM MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:EAGLIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:713-253-1553
Mailing Address - Street 1:2200 FM 1092 RD STE H
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1807
Mailing Address - Country:US
Mailing Address - Phone:832-949-8714
Mailing Address - Fax:713-426-5689
Practice Address - Street 1:2200 FM 1092 RD STE H
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1807
Practice Address - Country:US
Practice Address - Phone:832-949-8714
Practice Address - Fax:713-426-5689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty