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General NPI Number Information
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NPI Number | 1538026117
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Entity Type | Organization
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Legal Business Name | EVERGREEN HOSPICE & PALLIATIVE CARE
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 700 N SAINT MARYS ST
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City | SAN ANTONIO
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State | TX
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Zip | 78205-3507
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Country | US
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Telephone | 713-437-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 AUSTIN ST APT 603
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City | HOUSTON
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State | TX
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Zip | 77002-8965
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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 | OWNER
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Name | HOANG-ANH PHAN
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Credential | MD
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Telephone | 713-437-7114
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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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