Provider Demographics
NPI:1043460108
Name:HMJ
Entity type:Organization
Organization Name:HMJ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-857-0605
Mailing Address - Street 1:PO BOX 960697
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79996-0697
Mailing Address - Country:US
Mailing Address - Phone:915-857-0605
Mailing Address - Fax:
Practice Address - Street 1:3192 I. MEJIA
Practice Address - Street 2:
Practice Address - City:JUAREZ
Practice Address - State:CHIHUAHUA
Practice Address - Zip Code:ZZ
Practice Address - Country:MX
Practice Address - Phone:915-727-1467
Practice Address - Fax:915-857-0605
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HMJ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ319862174400000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty