1003383050 NPI number — HPA MEDICAL MANAGEMENT, LLC

Table of content: (NPI 1003383050)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003383050 NPI number — HPA MEDICAL MANAGEMENT, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HPA MEDICAL MANAGEMENT, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003383050
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/05/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6303 COWBOYS WAY STE 600
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75034-0329
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-535-8200
Provider Business Mailing Address Fax Number:
205-379-6720

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4801 NW LOOP 410 STE 301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-5343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-901-6000
Provider Business Practice Location Address Fax Number:
210-569-7779
Provider Enumeration Date:
10/29/2018

Additional Information

Authorized Official

Authorized Official Last Name:
DIXON
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT & COO
Authorized Official Telephone Number:
469-535-8200

Provider Taxonomy Codes

  • Taxonomy code: 207QH0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3955775 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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