Provider Demographics
NPI:1477274181
Name:CMJ HANDS ON MEDICINE LLC
Entity Type:Organization
Organization Name:CMJ HANDS ON MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:HILARIO
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:956-602-9986
Mailing Address - Street 1:15 VENTURA ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-7346
Mailing Address - Country:US
Mailing Address - Phone:956-602-9986
Mailing Address - Fax:956-443-3436
Practice Address - Street 1:4100 SAN BERNARDO AVE STE A-6
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-4445
Practice Address - Country:US
Practice Address - Phone:956-602-9986
Practice Address - Fax:956-443-3436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty