MEDICARE: HONOR MANAGEMENT GROUP, 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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1063842425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONOR MANAGEMENT GROUP, LLC

Provider Business Mailing Address
First Line	:	1110 NASA PKWY
Second Line	:	SUITE 108 I
City	:	HOUSTON
State	:	TX
Zip	:	77058-3310
Country	:	US
Telephone Number	:	281-333-0111
Fax Number	:	281-333-0113

Provider Business Practice Location Address
First Line	:	1110 NASA PKWY
Second Line	:	SUITE 108 I
City	:	HOUSTON
State	:	TX
Zip	:	77058-3310
Country	:	US
Telephone Number	:	281-333-0111
Fax Number	:	281-333-0113

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PATRICK GORDON ROBB
Credential	:
Telephone Number	:	281-333-0111

Provider Enumeration Date	:	11/22/2013
Last Update Date	:	11/22/2013

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