Provider Demographics
NPI:1619903598
Name:HOSPICE HANDS OF WEST TEXAS, INC.
Entity Type:Organization
Organization Name:HOSPICE HANDS OF WEST TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:NELL
Authorized Official - Last Name:GLASSCOCK SCHUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-652-3000
Mailing Address - Street 1:PO BOX 1118
Mailing Address - Street 2:
Mailing Address - City:LOCKNEY
Mailing Address - State:TX
Mailing Address - Zip Code:79241-1118
Mailing Address - Country:US
Mailing Address - Phone:806-652-3000
Mailing Address - Fax:806-652-2766
Practice Address - Street 1:305 N MAIN
Practice Address - Street 2:
Practice Address - City:LOCKNEY
Practice Address - State:TX
Practice Address - Zip Code:79241-1118
Practice Address - Country:US
Practice Address - Phone:806-652-3000
Practice Address - Fax:806-652-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001017742Medicaid
TX451672Medicare ID - Type Unspecified