Organization
HERMOSA HOME VISITS MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PAUL HERMOSA MD (OWNER)
(512) 240-5760
Entity
Organization
Contact information
Practice address
1515 HERITAGE DR, SUITE 100, MCKINNEY, TX 75069-3256
(972) 616-4932
Mailing address
1515 HERITAGE DR, SUITE 100, MCKINNEY, TX 75069-3256
(972) 616-4932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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