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CENTRUM MEDICAL GROUP, PLLC
NPI 1619620986
General Practice in Mansfield, TX

Active since January 27, 2022
1718 HIGHWAY 287 N STE 100, MANSFIELD, TX 76063(800) 218-8989(786) 558-0242 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centrum Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRUM MEDICAL GROUP, PLLC (NPI 1619620986) is a healthcare organization registered as a general practice in Mansfield, Texas and active in the NPI registry since January 2022. The organization lists Vanessa Victorero, Coo, as its authorized official.

NPPES Registry Identity

NPI1619620986
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRUM MEDICAL GROUP, PLLC
Location Address1718 HIGHWAY 287 N STE 100Mansfield, TX 76063-9242
Mailing Address9250 Nw 36th St Ste 420Doral, FL 33178-2775 · (305) 266-2929
Phone(800) 218-8989
Fax(786) 558-0242
Organization SubpartNo
Authorized OfficialVanessa VictoreroCoo · (305) 266-2929
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
✔ NPI 1619620986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1718 HIGHWAY 287 N STE 100, Mansfield, TX 76063
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOYCE ACQUAH FNP-C
Nurse Practitioner (Family)
1718 HIGHWAY 287 N STE 100
MANSFIELD, TX 76063
Tarrant County (469) 684-7830
MINIMOL MATHEW APRN
Nurse Practitioner (Family)
1718 HIGHWAY 287 N STE 100
MANSFIELD, TX 76063
Tarrant County (888) 726-5116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centrum Medical Group, PLLC's NPI number?

The NPI number for Centrum Medical Group, PLLC is 1619620986. It was assigned to this organization in the NPPES registry on January 27, 2022.

Where is Centrum Medical Group, PLLC located?

Centrum Medical Group, PLLC is located at 1718 Highway 287 N Ste 100, Mansfield, TX 76063. The listed phone number is (800) 218-8989.

What is Centrum Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Centrum Medical Group, PLLC was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.