Healthcare Provider Details

I. General information

NPI: 1932174604
Provider Name (Legal Business Name): H AND H MEDICAL,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4720 CRAWFORD ST
HOUSTON TX
77004-5031
US

IV. Provider business mailing address

PO BOX 88048
HOUSTON TX
77288-0048
US

V. Phone/Fax

Practice location:
  • Phone: 713-795-0905
  • Fax: 713-795-4660
Mailing address:
  • Phone: 713-795-0905
  • Fax: 713-795-4660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number004121
License Number StateTX

VIII. Authorized Official

Name: MS. RUTHIE LEE HEBERT
Title or Position: ADMINISTRATOR/BOARD SEC.
Credential: RN
Phone: 713-795-0905