Provider Demographics
NPI:1780685396
Name:TEXAS MEDICAL SERVICE, LP
Entity Type:Organization
Organization Name:TEXAS MEDICAL SERVICE, LP
Other - Org Name:HOSPICE OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:409-832-4582
Mailing Address - Street 1:2900 NORTH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702
Mailing Address - Country:US
Mailing Address - Phone:409-832-4582
Mailing Address - Fax:409-832-6345
Practice Address - Street 1:2900 NORTH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702
Practice Address - Country:US
Practice Address - Phone:409-832-4582
Practice Address - Fax:409-832-6345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-04
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008361251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH6887OtherBCBS OF TEXAS
TX001004553Medicaid
TX001004553Medicaid