Organization
TRICARE HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI TRAHAN (ADMINISTRATOR)
(281) 358-8000
Entity
Organization
Contact information
Practice address
25673 HIGHWAY 105 W, CLEVELAND, TX 77328-2973
(281) 358-8000
(281) 358-7999
Mailing address
25673 HIGHWAY 105 W, CLEVELAND, TX 77328-2973
(281) 358-8000
(281) 358-7999
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
TX
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010225833
—
TX
Enumeration date
08/23/2010
Last updated
03/07/2018
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