Provider Demographics
NPI:1497768584
Name:MMCI, INC
Entity Type:Organization
Organization Name:MMCI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:STABELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-764-5858
Mailing Address - Street 1:2033 HARVEY MITCHELL PKWY S
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-5102
Mailing Address - Country:US
Mailing Address - Phone:979-764-5858
Mailing Address - Fax:
Practice Address - Street 1:2033 HARVEY MITCHELL PKWY S
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-5102
Practice Address - Country:US
Practice Address - Phone:979-764-5858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-01-0650918332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies