Provider Demographics
NPI:1720643992
Name:MG MEDICAL BILLING LLC
Entity Type:Organization
Organization Name:MG MEDICAL BILLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:CST,SA-C,CSFA
Authorized Official - Phone:210-316-3646
Mailing Address - Street 1:16874 FM 463
Mailing Address - Street 2:
Mailing Address - City:LYTLE
Mailing Address - State:TX
Mailing Address - Zip Code:78052-4515
Mailing Address - Country:US
Mailing Address - Phone:210-239-6873
Mailing Address - Fax:
Practice Address - Street 1:16874 FM 463
Practice Address - Street 2:
Practice Address - City:LYTLE
Practice Address - State:TX
Practice Address - Zip Code:78052-4515
Practice Address - Country:US
Practice Address - Phone:210-239-6873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty