MEDICARE: MEDICA HOSPICE AND PALLIATIVE 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	:	1730817081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICA HOSPICE AND PALLIATIVE INC

Provider Business Mailing Address
First Line	:	440 BENMAR DR STE 1070
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3120
Country	:	US
Telephone Number	:	346-219-0222
Fax Number	:	346-219-0207

Provider Business Practice Location Address
First Line	:	440 BENMAR DR STE 1070
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3120
Country	:	US
Telephone Number	:	346-219-0222
Fax Number	:	346-219-0207

Authorized Official
Title or Position	:	CEO
Name	:	BRENDA ESPINOZA
Credential	:
Telephone Number	:	346-219-0222

Provider Enumeration Date	:	08/12/2022
Last Update Date	:	08/12/2022

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