Basic Information
| Provider Information | |||||||||
| NPI: | 1982981049 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HBMD CONSULTING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 7969 | ||||||||
| Address2: | |||||||||
| City: | LONGVIEW | ||||||||
| State: | TX | ||||||||
| PostalCode: | 756077969 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9036438869 | ||||||||
| FaxNumber: | 9036433314 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 N 4TH ST | ||||||||
| Address2: | |||||||||
| City: | LONGVIEW | ||||||||
| State: | TX | ||||||||
| PostalCode: | 756014739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9037537661 | ||||||||
| FaxNumber: | 9037531056 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2011 | ||||||||
| LastUpdateDate: | 11/03/2011 | ||||||||
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| AuthorizedOfficialLastName: | BOLNICK | ||||||||
| AuthorizedOfficialFirstName: | HAROLD | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9032613303 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.