Provider Demographics
NPI:1033400932
Name:H K A CORPORATION
Entity Type:Organization
Organization Name:H K A CORPORATION
Other - Org Name:AMERICAN MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-445-3334
Mailing Address - Street 1:PO BOX 472
Mailing Address - Street 2:
Mailing Address - City:PECOS
Mailing Address - State:TX
Mailing Address - Zip Code:79772-0472
Mailing Address - Country:US
Mailing Address - Phone:432-445-3334
Mailing Address - Fax:432-445-1124
Practice Address - Street 1:1010 S EDDY ST STE D
Practice Address - Street 2:
Practice Address - City:PECOS
Practice Address - State:TX
Practice Address - Zip Code:79772-2524
Practice Address - Country:US
Practice Address - Phone:432-445-3334
Practice Address - Fax:432-445-1124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0035558332B00000X, 332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0136848-08Medicaid
TX0331680002Medicare NSC
TX0331680002Medicare NSC