Basic Information
| Provider Information | |||||||||
| NPI: | 1578178190 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DRHMAC PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 102 PETERSBURG ST | ||||||||
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| City: | CASTROVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 780094515 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3200 AVENUE E | ||||||||
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| City: | HONDO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 788613525 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8304267444 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/10/2020 | ||||||||
| LastUpdateDate: | 09/10/2020 | ||||||||
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| AuthorizedOfficialLastName: | MCGEHEE | ||||||||
| AuthorizedOfficialFirstName: | HANNA | ||||||||
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| AuthorizedOfficialTitleorPosition: | SOLE MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 5126924010 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 09/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.