Organization
HKA CORPORATION
Active
Parent organization
H K A CORPORATION
Other names
Trans Pecos Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
H K A CORPORATION
Authorized official
MS. IRMA CASTILLO (CFO)
(432) 447-2808
Entity
Organization
Contact information
Practice address
1010 S EDDY ST, SUITE C, PECOS, TX 79772-6902
(432) 447-2808
(432) 447-3909
Mailing address
1010 S. EDDY ST, SUITE C, PECOS, TX 79772-6902
(432) 447-2808
(432) 447-3909
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D0055406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0900953-02
—
TX
01
—
CL0049
MEDICARE PROVIDER NUMBER
TX
Enumeration date
10/07/2005
Last updated
01/14/2015
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