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NPI Code Detail

MEDICARE: ODYSSEY HEALTHCARE OPERATING A LP

MEDICARE: ODYSSEY HEALTHCARE OPERATING A LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency009964TX

General Provider Information

NPI Number : 1033164397
Entity Type Code : Organization
Provider Name (Legal Business Name) : ODYSSEY HEALTHCARE OPERATING A LP
Provider Business Mailing Address
First Line : 717 N HARWOOD ST
Second Line : SUITE 1500
City : DALLAS
State : TX
Zip : 75201-6519
Country : US
Telephone Number : 214-922-9711
Fax Number : 214-922-9752
Provider Business Practice Location Address
First Line : 4601 66TH ST
Second Line : UNIT E
City : LUBBOCK
State : TX
Zip : 79414-4875
Country : US
Telephone Number : 806-741-0707
Fax Number : 806-741-0708
Authorized Official
Title or Position : SR VP & CFO
Name : MR. RODNEY DIRK ALLISON
Credential :
Telephone Number : 214-922-9711
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/08/2007

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Directions to “ODYSSEY HEALTHCARE OPERATING A LP ” Practice Location

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