Provider Demographics
NPI:1699985739
Name:HARBOR HOSPICE OF NEW BRAUNFELS, L.P.
Entity type:Organization
Organization Name:HARBOR HOSPICE OF NEW BRAUNFELS, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF DATA OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:THIBODAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-730-2022
Mailing Address - Street 1:3406 COLLEGE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4612
Mailing Address - Country:US
Mailing Address - Phone:409-730-2022
Mailing Address - Fax:409-232-0573
Practice Address - Street 1:1528 COMMON ST
Practice Address - Street 2:SUITE 1 AND 2
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3337
Practice Address - Country:US
Practice Address - Phone:830-214-0477
Practice Address - Fax:830-584-0662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based