Organization
COVENANT HOSPICE & PALLIATIVE CARE, LP
Active
Other names
Covenant Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P CAPPER M.D. (ADMINISTRATOR)
(817) 735-8741
Entity
Organization
Contact information
Practice address
3221 COLLINSWORTH ST, STE 160, FORT WORTH, TX 76107-6577
(817) 735-8741
(817) 735-8836
Mailing address
3221 COLLINSWORTH ST, SUITE 160, FORT WORTH, TX 76107-6577
(817) 735-8741
(817) 735-8836
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
007583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003206
—
TX
01
—
007583
HCSSA STATE LICENSE #
TX
Enumeration date
06/30/2005
Last updated
07/24/2007
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