Provider Demographics
NPI:1194182303
Name:MHM GROUP, LLC
Entity Type:Organization
Organization Name:MHM GROUP, LLC
Other - Org Name:BABY PAVILION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TABASSUM
Authorized Official - Middle Name:FATIMA
Authorized Official - Last Name:MITHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-658-3117
Mailing Address - Street 1:12807 CAPRICORN ST
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3914
Mailing Address - Country:US
Mailing Address - Phone:800-616-7860
Mailing Address - Fax:
Practice Address - Street 1:12807 CAPRICORN ST
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3914
Practice Address - Country:US
Practice Address - Phone:800-616-7860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies