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General NPI Number Information
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NPI Number | 1174840151
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Entity Type | Organization
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Legal Business Name | COVENANT GRACE HOSPICE, INC.
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 8535 WURZBACH RD STE 215
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1263
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Country | US
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Telephone | 210-822-2992
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Fax | 210-568-4859
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Provider Business Mailing Address
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Address Line | PO BOX 733707
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City | DALLAS
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State | TX
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Zip | 75373-3707
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Country | US
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Telephone | 713-261-9571
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Fax | 281-564-7326
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Authorized Official
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Title or Position | CFO
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Name | JAMES DOUTHITT
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Credential |
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Telephone | 940-600-5140
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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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