Provider Demographics
NPI:1295083129
Name:HOLY MEDICAL MANAGEMENT SERVICES
Entity type:Organization
Organization Name:HOLY MEDICAL MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-360-7816
Mailing Address - Street 1:6250 WESTPARK DR STE 319
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7381
Mailing Address - Country:US
Mailing Address - Phone:713-360-7816
Mailing Address - Fax:832-218-0770
Practice Address - Street 1:3831 KITCHEN HILL LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1727
Practice Address - Country:US
Practice Address - Phone:713-837-6564
Practice Address - Fax:832-218-0770
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOUSTON REHAB AND WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6305305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service