Provider Demographics
NPI:1427503705
Name:HLM MEDICAL MANAGEMENT FIRM
Entity type:Organization
Organization Name:HLM MEDICAL MANAGEMENT FIRM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:HEID
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MEDCALF
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:817-995-1888
Mailing Address - Street 1:2408 VICTORY PARK LN
Mailing Address - Street 2:SUITE 1034
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-7610
Mailing Address - Country:US
Mailing Address - Phone:817-995-1888
Mailing Address - Fax:888-413-9768
Practice Address - Street 1:2408 VICTORY PARK LN
Practice Address - Street 2:SUITE 1034
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-7610
Practice Address - Country:US
Practice Address - Phone:817-995-1888
Practice Address - Fax:888-413-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04265363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty