NPI 1184415853
The Four Five
Practice location
- Address
- 114 Pugh Ln, Corsicana, TX 75109-5420
- Phone
- (972) 806-0877
- Mailing address
- 5954 Broadway Blvd # 105, Garland, TX 75043-5822
Authorised official
- Name
- Chance William Luna
- Title
- Founder
- Phone
- (972) 806-0877
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1184415853
- Entity type
- Organization
- NPI issued
- 13 May 2025
- Record last updated
- 13 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.