NPI age
13 years
Enumerated 2012-09-13
Across 30 active hospice, inpatient providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 45D2051000 | CLIA ID |
| 01 (TX) | 015201 | STATE HOSPICE LICENSE |
| 01 | 67-1774 | MEDICARE PTAN |
Single-site organization. Only one practice location on file.
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