Extracare Palliative Consultants, PA

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

H6493 Issued in TX

Legal business name

EXTRACARE PALLIATIVE CONSULTANTS, PA

Practice address

16721 Decker Creek Dr
Manor, TX 78653-5012

Phone

(479) 366-4882

Fax

(866) 838-7772

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Samuel Pacl, MD

Title

President

Phone

(479) 366-4882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1497941710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16721 DECKER CREEK DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535012",
            "telephone_number": "479-366-4882",
            "fax_number": "866-838-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16721 DECKER CREEK DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535012",
            "telephone_number": "479-366-4882",
            "fax_number": "866-838-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Hard Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787502045",
            "country_code": "US",
            "telephone_number": "479-366-4882",
            "fax_number": "866-838-7772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 Hard Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787502045",
            "country_code": "US",
            "telephone_number": "479-366-4882",
            "fax_number": "866-838-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXTRACARE PALLIATIVE CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PACL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-366-4882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "H6493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospice and Palliative Medicine (Internal Medicine) Physician in Manor, TX
• Providers in Manor, TX by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.