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NPI Code Detail

MEDICARE: MISSION HOSPICE OF HOUSTON, LLC

MEDICARE: MISSION HOSPICE OF HOUSTON, LLC
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 Agency010571TX

General Provider Information

NPI Number : 1033359971
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSION HOSPICE OF HOUSTON, LLC
Provider Business Mailing Address
First Line : 4949 WESTGROVE DR
Second Line : SUITE 200
City : DALLAS
State : TX
Zip : 75248-1923
Country : US
Telephone Number : 972-239-8753
Fax Number : 972-692-5932
Provider Business Practice Location Address
First Line : 1500 SUNSET DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-4724
Country : US
Telephone Number : 281-992-4300
Fax Number : 281-992-0964
Authorized Official
Title or Position : PRESIDENT
Name : MR. MICHAEL CRAIG KELLY
Credential :
Telephone Number : 972-239-8753
Provider Enumeration Date : 03/05/2009
Last Update Date : 03/05/2009

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Directions to “MISSION HOSPICE OF HOUSTON, LLC ” Practice Location

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