OrganizationGreater Medical Mission Group Pllc(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address426 Castroville Rd Ste 3, San Antonio, TX 78207(877) 664-7201(210) 908-9358PECOS EnrollmentBased on the most recent information from CMS, provider Greater Medical Mission Group Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1245720911Provider TypeOrganizationFull NameGreater Medical Mission Group PllcOther Name<Unavail>SubpartNoEnumeration Date5/17/2018Last Updated6/13/2018Contact InformationPractice LocationPractice Address426 Castroville Rd Ste 3, San Antonio, TX 78207Phone(877) 664-7201Fax(800) 218-7489Mailing LocationMailing Address11631 Camp Real Ln, San Antonio, TX 78253-6331Phone(210) 908-9358Fax(210) 239-5921Authorized OfficialNameEfeovbokhan, Ughwanmwan T (Sole Member)Phone(210) 908-9358Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer