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General NPI Number Information
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NPI Number | 1093334765
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Entity Type | Organization
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Legal Business Name | THREE OAKS HOSPICE AUSTIN LLC
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 7800 SHOAL CREEK BLVD STE 246S
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City | AUSTIN
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State | TX
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Zip | 78757-1031
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Country | US
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Telephone | 512-323-6500
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Fax | 512-323-0404
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Provider Business Mailing Address
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Address Line | 717 N HARWOOD ST STE 550
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City | DALLAS
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State | TX
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Zip | 75201-6540
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Country | US
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Telephone | 214-628-9951
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Fax | 214-389-0976
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ANDREA BOHANNON
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Credential |
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Telephone | 214-628-9950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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