Provider Demographics
NPI:1245703248
Name:MHL O.R. ASSISTING LLC
Entity type:Organization
Organization Name:MHL O.R. ASSISTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ-LUCIO
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:713-578-0697
Mailing Address - Street 1:25134 BUTTERWICK DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-3339
Mailing Address - Country:US
Mailing Address - Phone:713-578-0697
Mailing Address - Fax:
Practice Address - Street 1:25134 BUTTERWICK DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-3339
Practice Address - Country:US
Practice Address - Phone:713-578-0697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty