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NPI Code Detail

MEDICARE: PHYSICIAN'S HOSPICE LLC

MEDICARE: PHYSICIAN'S HOSPICE 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 Agency

General Provider Information

NPI Number : 1447575261
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIAN'S HOSPICE LLC
Provider Business Mailing Address
First Line : 1067 FOCH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2919
Country : US
Telephone Number : 817-263-8808
Fax Number : 817-263-8811
Provider Business Practice Location Address
First Line : 1067 FOCH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2919
Country : US
Telephone Number : 817-263-8808
Fax Number : 817-263-8811
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : CHRISTOPHER DAVID CAIN
Credential :
Telephone Number : 817-263-8808
Provider Enumeration Date : 04/05/2010
Last Update Date : 04/05/2010

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Directions to “PHYSICIAN'S HOSPICE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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