MEDICARE: HPA MEDICAL MANAGEMENT, 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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1174147268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HPA MEDICAL MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	6303 COWBOYS WAY STE 600
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-0329
Country	:	US
Telephone Number	:	205-725-6236
Fax Number	:	205-379-6720

Provider Business Practice Location Address
First Line	:	11481 SW HALL BOULEVARD
Second Line	:	SUITE 200
City	:	TIGARD
State	:	OR
Zip	:	97223-9722
Country	:	US
Telephone Number	:	503-639-0600
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & COO
Name	:	MS. HEATHER DIXON
Credential	:
Telephone Number	:	469-535-8200

Provider Enumeration Date	:	06/03/2020
Last Update Date	:	11/13/2025

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