CCN: A91563 NPI: 1083234900 Organization

DIVINE GRACE PALLIATIVE CARE

515 N SAM HOUSTON PKWY E STE 320
HOUSTON, TX 770604139

Contact Information

Phone 2818093123
Fax 8773130955
Enumeration Date 2020-04-21
Last Updated 2023-10-24

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 35

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 35

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 26420

providerType 35

specialPaymentIndicator

carrierCode 04412

localityCode 18

cbsaActualGeographicLocation 26420

providerType 35

specialPaymentIndicator

carrierCode 04412

localityCode 18

cbsaActualGeographicLocation 26420

providerType 35

carrierCode 04412

localityCode 18

cbsaActualGeographicLocation 26420

providerType 35

specialPaymentIndicator

carrierCode 04412

localityCode 18