Provider Demographics
NPI:1972953867
Name:APPLETON HEALTHCARE MANAGEMENT INC.
Entity Type:Organization
Organization Name:APPLETON HEALTHCARE MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDALIA
Authorized Official - Middle Name:CARRANZA
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-367-2537
Mailing Address - Street 1:25222 NORTHWEST FWY
Mailing Address - Street 2:STE. 9102
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1030
Mailing Address - Country:US
Mailing Address - Phone:832-367-2537
Mailing Address - Fax:
Practice Address - Street 1:25222 NORTHWEST FWY
Practice Address - Street 2:STE. 9102
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1030
Practice Address - Country:US
Practice Address - Phone:832-367-2537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies