Organization
PIONEER COMPREHENSIVE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLYN MARIE HILLIARD (AUTHORIZED OFFICIAL)
(817) 973-5331
Entity
Organization
Contact information
Practice address
736 HALLELUJAH TRL, KELLER, TX 76248-4203
(817) 973-5331
(817) 769-9140
Mailing address
1540 KELLER PKWY STE 108-112, KELLER, TX 76248-4601
(817) 973-5331
(817) 769-9140
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
01/31/2025
Last updated
06/02/2025
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