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NPI Code Detail

MEDICARE: EVERGREEN HOSPICE & PALLIATIVE CARE, LLC

MEDICARE: EVERGREEN HOSPICE & PALLIATIVE CARE, LLC
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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1538026117
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVERGREEN HOSPICE & PALLIATIVE CARE, LLC
Provider Business Mailing Address
First Line : 2111 AUSTIN ST APT 603
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 N SAINT MARYS ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78205-3507
Country : US
Telephone Number : 713-437-7114
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HOANG-ANH PHAN
Credential : MD
Telephone Number : 713-437-7114
Provider Enumeration Date : 01/06/2026
Last Update Date : 02/20/2026

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Directions to “EVERGREEN HOSPICE & PALLIATIVE CARE, LLC ” Practice Location

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