Provider Demographics
NPI:1477751550
Name:HOSPICE & PALLIATIVE CARE OF TEXAS, INC.
Entity Type:Organization
Organization Name:HOSPICE & PALLIATIVE CARE OF TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CALLISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-785-4800
Mailing Address - Street 1:7211 REGENCY SQUARE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3137
Mailing Address - Country:US
Mailing Address - Phone:713-785-4800
Mailing Address - Fax:713-785-4806
Practice Address - Street 1:7211 REGENCY SQUARE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3137
Practice Address - Country:US
Practice Address - Phone:713-785-4800
Practice Address - Fax:713-785-4806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010024251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based