Organization
PINE TREE A AND D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANN MUSE (ADMINISTRATOR)
(281) 487-3113
Entity
Organization
Contact information
Practice address
2514 PANSY ST, PASADENA, TX 77503-3926
(281) 487-3113
(281) 487-5818
Mailing address
5128 PINE AVE, PASADENA, TX 77503-3765
(281) 487-3113
(281) 487-5818
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
116602
TX
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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