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NPI Code Detail

MEDICARE: COMMUNITY HEALTHCARE OF TEXAS

MEDICARE: COMMUNITY HEALTHCARE OF TEXAS
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 Agency007477TX

Other Identifiers

General Provider Information

NPI Number : 1043214638
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTHCARE OF TEXAS
Provider Business Mailing Address
First Line : 6100 WESTERN PLACE
Second Line : SUITE 105
City : FORT WORTH
State : TX
Zip : 76107
Country : US
Telephone Number : 817-870-2795
Fax Number : 817-878-3717
Provider Business Practice Location Address
First Line : 6700 SANGER AVENUE
Second Line :
City : WACO
State : TX
Zip : 76710
Country : US
Telephone Number : 254-399-9099
Fax Number : 254-399-8397
Authorized Official
Title or Position : CEO
Name : MS. VICTORIA JINGLE
Credential :
Telephone Number : 817-870-2795
Provider Enumeration Date : 06/10/2005
Last Update Date : 01/03/2023

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Directions to “COMMUNITY HEALTHCARE OF TEXAS ” Practice Location

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