Healthcare Provider Details

I. General information

NPI: 1982945127
Provider Name (Legal Business Name): HOSPITALIST PARTNERS OF EXCELLENCE IN MANSFIELD (H.O.P.E), P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2013
Last Update Date: 11/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E BROAD ST SUITE 308
MANSFIELD TX
76063-6412
US

IV. Provider business mailing address

711 WALNUT HOLLOW DR
MANSFIELD TX
76063-5898
US

V. Phone/Fax

Practice location:
  • Phone: 682-622-4325
  • Fax: 682-622-4322
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberM2378
License Number StateTX

VIII. Authorized Official

Name: DR. SHELLEY LENAMOND
Title or Position: PRESIDENT
Credential: D.O.
Phone: 817-881-6044