NPI 1174879621 · live from the CMS NPI Registry
Palliative Connections Of Texas INC
Case Manager/Care Coordinator in Texarkana, TX. National Provider Identifier 1174879621, active.
NPI record
| NPI | 1174879621 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Case Manager/Care Coordinator 171M00000X |
| Practice location | 5604 Summerhill Rd, Suite 3, Texarkana, TX 75503 |
| Practice phone | 918-894-3487 |
| Mailing address | 3220 S Peoria Ave, Suite 101, Tulsa, OK 74105 |
| Enumerated | August 1, 2012 |
| Last updated | August 16, 2012 |
| Authorized official | Roger Bruhn, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | — |
| Registered Nurse, Case Management | 163WC0400X | — |
| Registered Nurse, General Practice | 163WG0000X | — |
| Registered Nurse, Home Health | 163WH0200X | — |
| Licensed Practical Nurse | 164W00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Case Manager/Care Coordinator primary | 171M00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.