Provider Demographics
NPI:1699363366
Name:OASIS HOSPICE AND PALLIATIVE CARE SERVICES INC
Entity Type:Organization
Organization Name:OASIS HOSPICE AND PALLIATIVE CARE SERVICES INC
Other - Org Name:OASIS HOSPICE AND PALLIATIVE CARE SERVICES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DELPHINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MITIMA-SAMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:409-350-8167
Mailing Address - Street 1:8700 COMMERCE PARK DR STE 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7423
Mailing Address - Country:US
Mailing Address - Phone:936-668-2087
Mailing Address - Fax:281-741-9008
Practice Address - Street 1:8700 COMMERCE PARK DR STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7423
Practice Address - Country:US
Practice Address - Phone:936-668-2087
Practice Address - Fax:281-741-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based