Provider Demographics
NPI: | 1831129196 |
---|---|
Name: | MCMJ MEDICAL MANAGEMENT SERVICES INC |
Entity Type: | Organization |
Organization Name: | MCMJ MEDICAL MANAGEMENT SERVICES INC |
Other - Org Name: | MEDICAL MANAGEMENT SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CHIEF FINANCIAL OFFICER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | MARCO |
Authorized Official - Middle Name: | ANTONIO |
Authorized Official - Last Name: | TURRUBIATES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 956-535-2092 |
Mailing Address - Street 1: | 1205 NORTH RAUL LONGORIA RD |
Mailing Address - Street 2: | STE I2 |
Mailing Address - City: | SAN JUAN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78589 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 956-782-5555 |
Mailing Address - Fax: | 956-782-5556 |
Practice Address - Street 1: | 1205 NORTH RAUL LONGORIA RD |
Practice Address - Street 2: | STE I2 |
Practice Address - City: | SAN JUAN |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78589 |
Practice Address - Country: | US |
Practice Address - Phone: | 956-782-5555 |
Practice Address - Fax: | 956-782-5556 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-07-03 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251B00000X | Agencies | Case Management |