Healthcare Provider Details

I. General information

NPI: 1902004500
Provider Name (Legal Business Name): FALCON SOUTH PLAINS HOSPICE LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3223 S LOOP 289 STE 110B
LUBBOCK TX
79423-1337
US

IV. Provider business mailing address

101 W RENNER RD STE 420
RICHARDSON TX
75082-2022
US

V. Phone/Fax

Practice location:
  • Phone: 806-791-0043
  • Fax: 806-687-5958
Mailing address:
  • Phone: 806-771-0995
  • Fax: 806-771-3813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number010522
License Number StateTX

VIII. Authorized Official

Name: SHELLY LYNN MARKER
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 806-771-0995