Provider Demographics
NPI:1922575422
Name:FORT BEND HOSPICE AND PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:FORT BEND HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NNEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDOKPAYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-492-8519
Mailing Address - Street 1:26717 WESTHEIMER PKWY UNIT 103
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8058
Mailing Address - Country:US
Mailing Address - Phone:832-400-2301
Mailing Address - Fax:832-400-2302
Practice Address - Street 1:26717 WESTHEIMER PKWY UNIT 103
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8058
Practice Address - Country:US
Practice Address - Phone:832-400-2301
Practice Address - Fax:832-400-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based