Organization
DFW PIONEER ADC
Active
Other names
Texas Golden Age ADC
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE X MATTHIS (BUSINESS DIRECTOR)
(214) 837-6950
Entity
Organization
Contact information
Practice address
1115 W PIONEER PKWY, ARLINGTON, TX 76013-7624
(817) 459-3311
(817) 459-3314
Mailing address
3200 SAN PAULA CT, ARLINGTON, TX 76012
(214) 837-6950
(817) 459-3314
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/02/2010
Last updated
01/07/2025
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