CCN: 741574 NPI: 1861743700 Organization

HARBOR HOSPICE OF WEST DALLAS FORT WORTH LP

4255 BRYANT IRVIN RD STE 116B
FORT WORTH, TX 761094233

Contact Information

Phone 8172372255
Fax 8172372355
Enumeration Date 2012-10-01
Last Updated 2026-03-02

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 35

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 35

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 35

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 35

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 35

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 23104

providerType 35

specialPaymentIndicator

carrierCode 04412

localityCode 28