MEDICARE: HMKC ENTERPRISE, LP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	800057	TX

General Provider Information

NPI Number	:	1588602585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HMKC ENTERPRISE, LP

Provider Business Mailing Address
First Line	:	PO BOX 1553
Second Line	:
City	:	KYLE
State	:	TX
Zip	:	78640-1553
Country	:	US
Telephone Number	:	512-295-7978
Fax Number	:	512-295-7985

Provider Business Practice Location Address
First Line	:	4926 RESEARCH DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-5006
Country	:	US
Telephone Number	:	210-877-1348
Fax Number	:	210-558-4703

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. MICHAEL RYAN WEST
Credential	:
Telephone Number	:	512-295-7978

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	08/22/2020

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