Healthcare Provider Details
I. General information
NPI: 1578178190
Provider Name (Legal Business Name): DRHMAC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2020
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3200 AVENUE E
HONDO TX
78861-3525
US
IV. Provider business mailing address
102 PETERSBURG ST
CASTROVILLE TX
78009-4515
US
V. Phone/Fax
- Phone: 830-426-7444
- Fax:
- Phone:
- Fax:
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: DR.
HANNA
MCGEHEE
Title or Position: SOLE MEMBER
Credential: MD
Phone: 512-692-4010