Provider Demographics
NPI:1811985336
Name:H K A CORPORATION
Entity type:Organization
Organization Name:H K A CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
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:PO BOX 472
Mailing Address - Street 2:
Mailing Address - City:PECOS
Mailing Address - State:TX
Mailing Address - Zip Code:79772-0472
Mailing Address - Country:US
Mailing Address - Phone:432-445-3330
Mailing Address - Fax:432-445-3331
Practice Address - Street 1:1800 S EDDY ST
Practice Address - Street 2:
Practice Address - City:PECOS
Practice Address - State:TX
Practice Address - Zip Code:79772-6420
Practice Address - Country:US
Practice Address - Phone:432-445-3330
Practice Address - Fax:432-445-3331
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HKA CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-10
Last Update Date:2014-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002030251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451660Medicare ID - Type UnspecifiedPROVIDER NUMBER