Organization Name: | HARBOR HOSPICE OF AUSTIN LP |
NPI Number: | 1053445668 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD THIBODAUX (CHIEF DATA OFFICER) |
Mailing Address: | 7800 Shoal Creek Blvd Ste 105n Austin |
State: | TX US |
Postal Code: | 787571098 |
Phone Number: | 5124437100 |
Fax Number: | 5124437109 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 01/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 011306 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |