Provider Demographics
NPI:1992511901
Name:FORTRESS HOSPICE SERVICES INC
Entity type:Organization
Organization Name:FORTRESS HOSPICE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:UDOESSIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-283-9500
Mailing Address - Street 1:8330 LBJ FWY STE 475
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1208
Mailing Address - Country:US
Mailing Address - Phone:972-283-9500
Mailing Address - Fax:972-283-9501
Practice Address - Street 1:8330 LBJ FWY STE 475
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1208
Practice Address - Country:US
Practice Address - Phone:972-283-9500
Practice Address - Fax:972-283-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based