Provider Demographics
NPI:1932174604
Name:H AND H MEDICAL,INC.
Entity type:Organization
Organization Name:H AND H MEDICAL,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/BOARD SEC.
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTHIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-795-0905
Mailing Address - Street 1:PO BOX 88048
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77288-0048
Mailing Address - Country:US
Mailing Address - Phone:713-795-0905
Mailing Address - Fax:713-795-4660
Practice Address - Street 1:4720 CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5031
Practice Address - Country:US
Practice Address - Phone:713-795-0905
Practice Address - Fax:713-795-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004121251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXUCN 60K8092Medicaid