NPI Code Detail JSON Logo

1124956990 NPI number — MEDCORE PALLIATIVE CARE LLC

NPI Number: 1124956990
Health Care Provider/Practitioner: MEDCORE PALLIATIVE CARE LLC

Information about “1124956990” NPI (MEDCORE PALLIATIVE CARE LLC) exists in 1124956990 in HTML format HTML  |  1124956990 in plain Text format TXT  |  1124956990 in PDF (Portable Document Format) PDF  |  1124956990 in an XML format XML  formats.

NPI Number : 1124956990 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124956990",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MEDCORE HEALTHCARE SERVICES, INC.",
    "ParentOrgTIN": null,
    "OrgName": "MEDCORE PALLIATIVE CARE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3880 GREENHOUSE RD STE 319",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77084-3335",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3880 GREENHOUSE RD STE 318",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77084-3335",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-394-2042",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/12/2026",
    "LastUpdateDate": "05/12/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARR-DIXON",
    "AuthorizedOfficialFirstName": "DERRIEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF BUSINESS DEV.",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "346-399-0258",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207QH0002X",
        "TaxonomyName": "Hospice and Palliative Medicine (Family Medicine) Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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