Provider Demographics
NPI:1144875089
Name:TEXAS HOSPICE AND PALLIATIVE CARE LLC
Entity type:Organization
Organization Name:TEXAS HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-526-3165
Mailing Address - Street 1:6514 HIGHWAY 90A STE 103
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2538
Mailing Address - Country:US
Mailing Address - Phone:832-526-3165
Mailing Address - Fax:
Practice Address - Street 1:6514 HIGHWAY 90A STE 103
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-2538
Practice Address - Country:US
Practice Address - Phone:832-526-3165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based