Healthcare Provider Details

I. General information

NPI: 1154369791
Provider Name (Legal Business Name): VITAS HEALTHCARE OF TEXAS, L. P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 12/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 EASTSIDE ST SUITE 200
HOUSTON TX
77098-1935
US

IV. Provider business mailing address

3046 CORPORATE WAY
MIRAMAR FL
33025-6547
US

V. Phone/Fax

Practice location:
  • Phone: 713-663-4900
  • Fax: 713-663-4973
Mailing address:
  • Phone: 305-350-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS NICK WESTFALL
Title or Position: SENIOR DIRECTOR A/P
Credential:
Phone: 305-374-4143