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NPI 1407144199

NPI 1407144199 : SUPERIOR HOSPICE OF MCALLEN LLC : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1407144199
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUPERIOR HOSPICE OF MCALLEN LLC 
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Dates
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    Enumeration Date     |    07/14/2011
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    Last Update Date     |    04/22/2025
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Provider Practice Location Address
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    Address Line         |    2108 S M ST STE 8C 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78503-1556
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    Country              |    US
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    Telephone            |    956-878-1636
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    Fax                  |    956-878-1638
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Provider Business Mailing Address
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    Address Line         |    8000 VANTAGE DR 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78230-4781
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    Country              |    US
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    Telephone            |    210-558-7710
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    Fax                  |    210-558-7724
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Authorized Official
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    Title or Position    |    DIRECTOR OF TEXAS OPERATIONS
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    Name                 |     JOHN  KUBLANK 
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    Credential           |    
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    Telephone            |    830-708-8705
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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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