MEDICARE: OASIS HOSPICE AND PALLIATIVE CARE SERVICES INC

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	:	1699363366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS HOSPICE AND PALLIATIVE CARE SERVICES INC

Provider Business Mailing Address
First Line	:	8700 COMMERCE PARK DR STE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-7423
Country	:	US
Telephone Number	:	936-668-2087
Fax Number	:	281-741-9008

Provider Business Practice Location Address
First Line	:	8700 COMMERCE PARK DR STE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-7423
Country	:	US
Telephone Number	:	936-668-2087
Fax Number	:	281-741-9008

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DELPHINA C. MITIMA-SAMUEL
Credential	:	PHD
Telephone Number	:	409-350-8167

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	08/16/2021

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