Provider Demographics
NPI:1831442748
Name:XECUTIVE HEALTHCARE ADVOCATES
Entity type:Organization
Organization Name:XECUTIVE HEALTHCARE ADVOCATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-890-4493
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:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization