Healthcare Provider Details

I. General information

NPI: 1750264990
Provider Name (Legal Business Name): LAS HAMACAS RESTAURANT III, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8541 GULF FWY
HOUSTON TX
77017-5055
US

IV. Provider business mailing address

10801 HAMMERLY BLVD STE 201
HOUSTON TX
77043-1924
US

V. Phone/Fax

Practice location:
  • Phone: 713-941-7157
  • Fax:
Mailing address:
  • Phone: 713-371-6285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: ALMA L HOBBS
Title or Position: PRESIDENT
Credential:
Phone: 713-371-6285