MEDICARE: PIONEER FIRST CARE SERVICES,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZH0000X	Hematology (Pathology) Physician

General Provider Information

NPI Number	:	1144450396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIONEER FIRST CARE SERVICES,INC.

Provider Business Mailing Address
First Line	:	1148 W PIONEER PKWY STE B
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6385
Country	:	US
Telephone Number	:	817-274-8510
Fax Number	:	817-274-8518

Provider Business Practice Location Address
First Line	:	1148 W PIONEER PKWY STE B
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6385
Country	:	US
Telephone Number	:	817-274-8510
Fax Number	:	817-274-8518

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANRI MELIKJANIAN
Credential	:
Telephone Number	:	817-274-8510

Provider Enumeration Date	:	07/22/2009
Last Update Date	:	07/22/2009

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