MEDICARE: HNI MEDICAL SERVICES OF VIRGINIA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	208000000X	Pediatrics Physician
4	208M00000X	Hospitalist Physician

General Provider Information

NPI Number	:	1194098640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HNI MEDICAL SERVICES OF VIRGINIA LLC

Provider Business Mailing Address
First Line	:	512 VICTORIA LN STE 12
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-3228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 E MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23219-3531
Country	:	US
Telephone Number	:	956-440-6301
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF BILLING
Name	:	CINDY ARIAS
Credential	:
Telephone Number	:	956-440-6301

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	02/14/2012

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