Provider Demographics
NPI:1033805767
Name:MM MEDIC HEALTH LLC
Entity Type:Organization
Organization Name:MM MEDIC HEALTH LLC
Other - Org Name:CLINICA HISPANA MORELIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:BORJAS CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:346-336-6103
Mailing Address - Street 1:16826 STUEBNER AIRLINE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6207
Mailing Address - Country:US
Mailing Address - Phone:346-336-6103
Mailing Address - Fax:346-336-6105
Practice Address - Street 1:16826 STUEBNER AIRLINE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6207
Practice Address - Country:US
Practice Address - Phone:346-336-6103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty