NPI 1205643442
Pine Lodge Business LLC
Practice location
- Address
- 1667 W Plano Pkwy, Plano, TX 75075-8666
- Phone
- (214) 606-0550
- Mailing address
- 3639 Copper Stone Dr, Dallas, TX 75287-6257
Authorised official
- Name
- Nissa Nasir Husain
- Title
- Owner
- Phone
- (214) 606-0550
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1205643442
- Entity type
- Organization
- NPI issued
- 11 Dec 2024
- Record last updated
- 12 Dec 2024
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.