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General NPI Number Information
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NPI Number | 1124956990
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Entity Type | Organization
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Legal Business Name | MEDCORE PALLIATIVE CARE LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 3880 GREENHOUSE RD STE 318
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City | HOUSTON
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State | TX
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Zip | 77084-3335
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Country | US
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Telephone | 281-394-2042
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Fax |
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Provider Business Mailing Address
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Address Line | 3880 GREENHOUSE RD STE 319
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City | HOUSTON
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State | TX
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Zip | 77084-3335
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS DEV.
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Name | DERRIEN CARR-DIXON
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Credential |
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Telephone | 346-399-0258
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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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