Provider Demographics
NPI:1326237371
Name:MEDICAL MANAGEMENT SERVICES, INC.
Entity Type:Organization
Organization Name:MEDICAL MANAGEMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-593-5495
Mailing Address - Street 1:3160 N LEE TREVINO DR STE 106
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-2061
Mailing Address - Country:US
Mailing Address - Phone:915-593-5495
Mailing Address - Fax:915-593-6902
Practice Address - Street 1:3160 N LEE TREVINO DR STE 106
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-2061
Practice Address - Country:US
Practice Address - Phone:915-593-5495
Practice Address - Fax:915-593-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty