Basic Information
Provider Information
NPI: 1982072138
EntityType: 2
ReplacementNPI:  
OrganizationName: HOSPICE PARTNERS OF TEXAS, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: ALPHA OMEGA HOSPICE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 305 NE LOOP 820
Address2: SUITE 411
City: HURST
State: TX
PostalCode: 760537209
CountryCode: US
TelephoneNumber: 8172380770
FaxNumber: 6172380786
Practice Location
Address1: 305 NE LOOP 820
Address2: SUITE 411
City: HURST
State: TX
PostalCode: 760537209
CountryCode: US
TelephoneNumber: 8172380770
FaxNumber: 6172380786
Other Information
ProviderEnumerationDate: 09/04/2015
LastUpdateDate: 09/04/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ENGLISH
AuthorizedOfficialFirstName: NORMA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 2055338475
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251G00000X009222TXY AgenciesHospice Care, Community Based 

No ID Information.


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