Provider Demographics
NPI:1063924678
Name:FIRST UNITED HOSPICE AND PALLIATIVE CARE INC.
Entity type:Organization
Organization Name:FIRST UNITED HOSPICE AND PALLIATIVE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MUAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:WAQIALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-515-3020
Mailing Address - Street 1:PO BOX 740741
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-0741
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1136 RADIO LN
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-3931
Practice Address - Country:US
Practice Address - Phone:281-515-3020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-04
Last Update Date:2017-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based