Provider Demographics
NPI:1518343706
Name:HOSPITAL MEDICAL MANAGEMENT SERVICES, LLC
Entity Type:Organization
Organization Name:HOSPITAL MEDICAL MANAGEMENT SERVICES, LLC
Other - Org Name:HOSPITAL MEDICAL MGMT SVCS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:H
Authorized Official - Last Name:BOUAJRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-597-0032
Mailing Address - Street 1:6363 PINTAIL LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2290
Mailing Address - Country:US
Mailing Address - Phone:310-597-0032
Mailing Address - Fax:469-301-2420
Practice Address - Street 1:8111 MEADOW RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3514
Practice Address - Country:US
Practice Address - Phone:310-597-0032
Practice Address - Fax:469-301-2420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207P00000X, 208M00000X
TXN6185208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty