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General NPI Number Information
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NPI Number | 1063105054
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Entity Type | Organization
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Legal Business Name | LOBIECARE HOSPICE LLC
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 8727 W RAYFORD RD STE 160
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City | SPRING
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State | TX
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Zip | 77389-5440
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Country | US
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Telephone | 281-547-8880
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Fax | 346-336-8080
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Provider Business Mailing Address
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Address Line | 6218 KOLLE DR
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City | ROSENBERG
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State | TX
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Zip | 77471-2333
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Country | US
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Telephone | 281-547-8880
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Fax | 346-336-8080
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ISMAIL ADESANYA
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Credential | MD
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Telephone | 281-547-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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