Provider Demographics
NPI:1912045279
Name:HMR MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:HMR MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:TP
Authorized Official - Last Name:STIFLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:817-882-3278
Mailing Address - Street 1:99 SUMMER ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-1213
Mailing Address - Country:US
Mailing Address - Phone:617-357-9876
Mailing Address - Fax:617-357-7311
Practice Address - Street 1:901 W LEUDA ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3003
Practice Address - Country:US
Practice Address - Phone:817-882-3278
Practice Address - Fax:817-332-9949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00G06PMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER