# PALLIATIVE CONNECTIONS OF TEXAS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174879621
- **Authorized official:** ROGER A BRUHN (DIRECTOR)
- **Authorized official phone:** (918) 894-3487

## Contact information

- **Practice address:** 5604 SUMMERHILL RD, SUITE 3, TEXARKANA, TX 75503-4650
- **Practice address phone:** (918) 894-3487
- **Practice address fax:** (918) 712-9880
- **Mailing address:** 3220 S PEORIA AVE, SUITE 101, TULSA, OK 74105-2003
- **Mailing address phone:** (918) 894-3487
- **Mailing address fax:** (918) 712-9880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 163WG0000X | General Practice Registered Nurse | — | NULL | — |
| 163WG0000X | General Practice Registered Nurse | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/01/2012
- **Last updated:** 08/16/2012