Provider Demographics
NPI:1457349953
Name:H K A CORPORATION
Entity Type:Organization
Organization Name:H K A CORPORATION
Other - Org Name:AMERICAN MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-445-3330
Mailing Address - Street 1:1800 S EDDY ST
Mailing Address - Street 2:
Mailing Address - City:PECOS
Mailing Address - State:TX
Mailing Address - Zip Code:79772-6420
Mailing Address - Country:US
Mailing Address - Phone:432-445-3330
Mailing Address - Fax:432-445-3331
Practice Address - Street 1:1010 S EDDY ST
Practice Address - Street 2:SUITE A
Practice Address - City:PECOS
Practice Address - State:TX
Practice Address - Zip Code:79772-2524
Practice Address - Country:US
Practice Address - Phone:432-447-2266
Practice Address - Fax:432-447-3699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0035558332B00000X, 332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX013684808Medicaid
TX094653502Medicaid
TX013684803Medicaid
TX013684801Medicaid
TX013684804Medicaid
TX013684804Medicaid