Healthcare Provider Details

I. General information

NPI: 1386534212
Provider Name (Legal Business Name): LAS HAMACAS RESTAURANT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/04/2025
Certification Date: 07/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12726 NORTH FWY STE A
HOUSTON TX
77060-1320
US

IV. Provider business mailing address

10801 HAMMERLY BLVD STE 201
HOUSTON TX
77043-1924
US

V. Phone/Fax

Practice location:
  • Phone: 713-371-6285
  • Fax: 713-777-0106
Mailing address:
  • Phone: 713-371-6285
  • Fax: 713-777-0106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALMA LETICIA HOBBS
Title or Position: CEO
Credential:
Phone: 713-371-6285