Organization Name: | HEART OF TEXAS HOSPICE - LONESTAR, LLC |
NPI Number: | 1275999559 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON BOOTZ (MANAGER) |
Mailing Address: | 18568 Forty Six Pkwy Suite 3001a Spring Branch |
State: | TX US |
Postal Code: | 780706879 |
Phone Number: | 8307307711 |
Fax Number: | 2102012429 |
NPI Enumeration Date: | 01/03/2016 |
NPI Last Update Date: | 01/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 7658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |