Provider Demographics
NPI:1548685712
Name:FORT BEND METHODIST HOSPICE LLC
Entity type:Organization
Organization Name:FORT BEND METHODIST HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMMEL
Authorized Official - Middle Name:VILLARAMA
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-762-8096
Mailing Address - Street 1:10311 W AIRPORT BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3345
Mailing Address - Country:US
Mailing Address - Phone:832-762-8096
Mailing Address - Fax:832-779-5709
Practice Address - Street 1:10311 W AIRPORT BLVD STE 108
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3345
Practice Address - Country:US
Practice Address - Phone:832-762-8096
Practice Address - Fax:832-779-5709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based