Healthcare Provider Details
I. General information
NPI: 1568615573
Provider Name (Legal Business Name): HRL MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2008
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2421 WORTH STREET
HEMPHILL TX
75948
US
IV. Provider business mailing address
PO BOX 766 2421 WORTH STREET
HEMPHILL TX
75948
US
V. Phone/Fax
- Phone: 409-787-3772
- Fax: 409-787-4506
- Phone: 409-787-3722
- Fax: 409-787-4506
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MELDA
L
HART
Title or Position: CEO OWNER
Credential:
Phone: 409-383-3823