Provider Demographics
NPI:1184185076
Name:FIRST TEXAS HOSPICE LLC
Entity type:Organization
Organization Name:FIRST TEXAS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BIJILI
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:VARANATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-794-2646
Mailing Address - Street 1:2410 LUNA RD # 254
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-6538
Mailing Address - Country:US
Mailing Address - Phone:214-390-9994
Mailing Address - Fax:
Practice Address - Street 1:2410 LUNA RD STE 254
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-6538
Practice Address - Country:US
Practice Address - Phone:214-390-9994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based