Organization
MY OWN HOSPICE LLC
Active
Other names
OpusCare of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL ROQUE-VELASCO (PRESIDENT AND CEO)
(305) 591-1606
Entity
Organization
Contact information
Practice address
8207 CALLAGHAN RD STE 400A, SAN ANTONIO, TX 78230-4735
(210) 988-1461
(210) 404-9887
Mailing address
6900 SW 80TH ST, MIAMI, FL 33143-4931
(305) 591-1606
(305) 591-1618
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
018026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741589
MEDICARE CCN
TX
Enumeration date
05/19/2014
Last updated
01/30/2024
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