Provider Demographics
NPI:1801493440
Name:GH MEDICAL MANAGEMENT
Entity type:Organization
Organization Name:GH MEDICAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CODY
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:HAMRICK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-A, CRNA
Authorized Official - Phone:325-518-9456
Mailing Address - Street 1:4261 E UNIVERSITY DR STE 30-177
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-9152
Mailing Address - Country:US
Mailing Address - Phone:325-518-9456
Mailing Address - Fax:
Practice Address - Street 1:2201 K AVE
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5974
Practice Address - Country:US
Practice Address - Phone:469-409-1091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty