Provider Demographics
NPI:1184924383
Name:M&M ADVANCED HEALTHCARE INC
Entity type:Organization
Organization Name:M&M ADVANCED HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SOLEDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BANEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-422-3519
Mailing Address - Street 1:11803 GRANT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4021
Mailing Address - Country:US
Mailing Address - Phone:832-422-3519
Mailing Address - Fax:832-422-3524
Practice Address - Street 1:11803 GRANT RD STE 200
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4021
Practice Address - Country:US
Practice Address - Phone:832-422-3519
Practice Address - Fax:832-422-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health