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Organization

MY OWN HOSPICE LLC

Active
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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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