Organization Active NPI

Three Oaks Palliative Care PLLC

Doing business as Three Oaks Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Richardson, TX
National Provider Identifier
1497377436
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
THREE OAKS PALLIATIVE CARE PLLC
Doing business as
Three Oaks Palliative Care
Practice address
2100 Lakeside Blvd Ste 250
Richardson, TX 75082-4351
Phone
(877) 585-7400
NPI assigned
May 13, 2020
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Bohannon
Title
President & Ceo
Phone
(214) 628-9951

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2100 Lakeside Blvd Ste 250
Richardson, TX 75082-4351

Mailing address

717 N Harwood St Ste 550
Dallas, TX 75201-6540

Other practice location 1

500 Grapevine Hwy Ste 225
Hurst, TX 76054-2790
Phone (817) 328-1628

Other practice location 2

16420 Park Ten Pl Ste 240
Houston, TX 77084-5299
Phone (832) 437-2089

Other practice location 3

717 N Harwood St Ste 550
Dallas, TX 75201-6540
Phone (877) 585-7400

Other practice location 4

25211 Grogans Mill Rd Ste 330
The Woodlands, TX 77380-2177
Phone (832) 431-5009

Other names 1

  • THREE OAKS PALLIATIVE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200603000817 TX Part B Supplier - Clinic/Group Practice 7719308592 Receives reassigned benefits from 14 practitioners
Practice locations: Dallas, TX; Houston, TX; Hurst, TX; Longview, TX; Richardson, TX; The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

717 N Harwood St
Ste 550
Dallas, TX 75201
Phone (214) 628-9951

209 N Bonnie Brae St
Ste 201
Denton, TX 76201
Phone (940) 312-7461

16420 Park Ten Pl
Ste 240
Houston, TX 77084
Phone (832) 437-2089

500 Grapevine Hwy
Ste 225
Hurst, TX 76054
Phone (817) 328-1628

331 Melrose Dr
Ste 250
Richardson, TX 75080
Phone (214) 628-9090

331 Melrose Dr
Ste 230
Richardson, TX 75080
Phone (214) 628-9090

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1497377436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HARWOOD ST STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKESIDE BLVD STE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824351",
            "telephone_number": "877-585-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Grapevine Hwy Ste 225",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "760542790",
            "country_code": "US",
            "telephone_number": "817-328-1628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16420 Park Ten Pl Ste 240",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770845299",
            "country_code": "US",
            "telephone_number": "832-437-2089",
            "fax_number": "832-437-2090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 N Harwood St Ste 550",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752016540",
            "country_code": "US",
            "telephone_number": "877-585-7400",
            "fax_number": "877-585-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25211 Grogans Mill Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773802177",
            "country_code": "US",
            "telephone_number": "832-431-5009",
            "fax_number": "281-978-2445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THREE OAKS PALLIATIVE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-628-9951"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE OAKS PALLIATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.