Healthcare Provider Details

I. General information

NPI: 1649078023
Provider Name (Legal Business Name): GARDEN PATH HOSPICE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 KIRBY DR APT 515
HOUSTON TX
77030-4480
US

IV. Provider business mailing address

7600 KIRBY DR APT 515
HOUSTON TX
77030-4480
US

V. Phone/Fax

Practice location:
  • Phone: 650-759-1335
  • Fax:
Mailing address:
  • Phone: 650-759-1335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ERICK VIQUEZ
Title or Position: CO-OWNER
Credential:
Phone: 650-759-1335