Provider Demographics
NPI:1659737765
Name:HM EZ GROUP, LLC
Entity Type:Organization
Organization Name:HM EZ GROUP, LLC
Other - Org Name:HEALTH MATTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:279-613-5793
Mailing Address - Street 1:2944 MOTLEY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3460
Mailing Address - Country:US
Mailing Address - Phone:972-613-5793
Mailing Address - Fax:972-613-7236
Practice Address - Street 1:2944 MOTLEY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3460
Practice Address - Country:US
Practice Address - Phone:972-613-5793
Practice Address - Fax:972-613-7236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D1014980Medicare PIN