Provider Demographics
NPI:1366058620
Name:ASTONISHING APPRECIATION PALLIATIVE CARE
Entity type:Organization
Organization Name:ASTONISHING APPRECIATION PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-435-1683
Mailing Address - Street 1:614 TREES CT
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5027
Mailing Address - Country:US
Mailing Address - Phone:214-435-1683
Mailing Address - Fax:972-637-3476
Practice Address - Street 1:614 TREES CT
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5027
Practice Address - Country:US
Practice Address - Phone:214-435-1683
Practice Address - Fax:972-637-3476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies