Provider Demographics
NPI:1851590442
Name:TEXAS NON PROFIT HOSPICE ALLIANCE
Entity Type:Organization
Organization Name:TEXAS NON PROFIT HOSPICE ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TNPHA NGEWT
Authorized Official - Prefix:
Authorized Official - First Name:RAIVOY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-202-7132
Mailing Address - Street 1:6100 WESTERN PLACE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FT. WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-4667
Mailing Address - Country:US
Mailing Address - Phone:713-202-7132
Mailing Address - Fax:866-364-7261
Practice Address - Street 1:6100 WESTERN PLACE
Practice Address - Street 2:SUITE 105
Practice Address - City:FT. WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-4667
Practice Address - Country:US
Practice Address - Phone:817-870-2795
Practice Address - Fax:866-364-7261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty