Provider Demographics
NPI:1548472111
Name:GROUP MED ASSOCIATES, INC.
Entity type:Organization
Organization Name:GROUP MED ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALI
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-274-8999
Mailing Address - Street 1:2805 W. ARKANSAS LANE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-5729
Mailing Address - Country:US
Mailing Address - Phone:817-274-8999
Mailing Address - Fax:817-274-9099
Practice Address - Street 1:2805 W. ARKANSAS LANE
Practice Address - Street 2:SUITE 304
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-5729
Practice Address - Country:US
Practice Address - Phone:817-274-8999
Practice Address - Fax:817-274-9099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX25510OtherSTATE PHARMACY LICENSE
TX4544690OtherNCPDP