# INTREPID OF WABASH, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Intrepid Palliative & Supportive Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114691854
- **Authorized official:** ROBERT PARKER CCO (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (214) 445-3750

## Contact information

- **Practice address:** 2901 OHIO BLVD STE 210-2, TERRE HAUTE, IN 47803-2239
- **Practice address phone:** (812) 232-0725
- **Mailing address:** 3220 KELLER SPRINGS RD STE 108, CARROLLTON, TX 75006-5911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2021
- **Last updated:** 08/05/2021