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Organization
HOLY MEDICAL MANAGEMENT SERVICES
Active
Organization
HOLY MEDICAL MANAGEMENT SERVICES
Active
Parent organization
MYLENIUM
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYLENIUM
Authorized official
RAUL FASHE CEO (VICE PRESIDENT)
(713) 640-5559
Entity
Organization
Contact information
Practice address
6910 CHETWOOD DR, HOUSTON, TX 77081-5612
(713) 640-5559
(832) 433-7776
Mailing address
6910 CHETWOOD DR, HOUSTON, TX 77081-5612
(713) 640-5559
(832) 433-7776
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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