MEDICARE: TEXAS PALLIATIVE SERVICES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1528841020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS PALLIATIVE SERVICES PA

Provider Business Mailing Address
First Line	:	PO BOX 4060
Second Line	:	ATTN: REGULATORY
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-4060
Country	:	US
Telephone Number	:	704-664-2876
Fax Number	:

Provider Business Practice Location Address
First Line	:	16633 N DALLAS PKWY
Second Line	:	STE 425
City	:	ADDISON
State	:	TX
Zip	:	75001-6816
Country	:	US
Telephone Number	:	469-365-2225
Fax Number	:	469-361-8265

Authorized Official
Title or Position	:	VP OF LICENSURE
Name	:	JANET L COMBS
Credential	:
Telephone Number	:	704-662-1761

Provider Enumeration Date	:	08/17/2023
Last Update Date	:	03/02/2026

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Directions to “TEXAS PALLIATIVE SERVICES PA ” Practice Location

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