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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