MEDICARE: GARDEN PATH HOSPICE CARE 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	207PH0002X	Hospice and Palliative Medicine (Emergency Medicine) Physician

General Provider Information

NPI Number	:	1649078023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDEN PATH HOSPICE CARE LLC

Provider Business Mailing Address
First Line	:	7600 KIRBY DR APT 515
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4480
Country	:	US
Telephone Number	:	650-759-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 KIRBY DR APT 515
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4480
Country	:	US
Telephone Number	:	650-759-1335
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	ERICK VIQUEZ
Credential	:
Telephone Number	:	650-759-1335

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	05/19/2025

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