Provider Demographics
NPI:1982227245
Name:MAXXAM HORMONE & HEALTH PLLC
Entity type:Organization
Organization Name:MAXXAM HORMONE & HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:KRETSCHMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-883-4038
Mailing Address - Street 1:20031 W LAKE HOUSTON PKWY
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3432
Mailing Address - Country:US
Mailing Address - Phone:281-883-4038
Mailing Address - Fax:281-913-5295
Practice Address - Street 1:20031 W LAKE HOUSTON PKWY
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3432
Practice Address - Country:US
Practice Address - Phone:281-883-4038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty