Provider Demographics
NPI:1831663921
Name:TOTAL MEDICAL MANAGEMENT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:TOTAL MEDICAL MANAGEMENT SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKREST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-346-8787
Mailing Address - Street 1:PO BOX 31493
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-0493
Mailing Address - Country:US
Mailing Address - Phone:336-346-8787
Mailing Address - Fax:877-341-2805
Practice Address - Street 1:7101 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412
Practice Address - Country:US
Practice Address - Phone:336-346-8787
Practice Address - Fax:877-341-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty