Provider Demographics
NPI:1659886281
Name:DFW PALLIATIVE AND HOSPICE CARE LLC
Entity Type:Organization
Organization Name:DFW PALLIATIVE AND HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-901-2609
Mailing Address - Street 1:10935 ESTATE LN STE 221
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-5177
Mailing Address - Country:US
Mailing Address - Phone:817-901-2609
Mailing Address - Fax:
Practice Address - Street 1:10935 ESTATE LN STE 221
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-5177
Practice Address - Country:US
Practice Address - Phone:817-901-2609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based