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Organization

AMBASSADOR PHYSICIAN GROUP LLC

Active
Parent organization
AMBASSADOR SENIOR MANAGEMENT GROUP LLC
Other names
Physician's Hospice
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMBASSADOR SENIOR MANAGEMENT GROUP LLC
Authorized official
MR. CHRISTOPHER DAVID CAIN (CEO)
(682) 561-1658
Entity
Organization

Contact information

Practice address
1000 W WILSHIRE BLVD, SUITE 123, OKLAHOMA CITY, OK 73116-7030
(405) 418-2991
(405) 418-2977
Mailing address
1067 FOCH ST, FORT WORTH, TX 76107-2919
(817) 263-8808
(817) 263-8811

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
10/14/2008
Last updated
10/14/2008
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