MEDICARE: PIONEER COMPREHENSIVE CARE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician
2	225100000X	Physical Therapist
3	363LA2200X	Adult Health Nurse Practitioner
4	363L00000X	Nurse Practitioner
5	207QA0505X	Adult Medicine Physician
6	208100000X	Physical Medicine & Rehabilitation Physician
7	208VP0000X	Pain Medicine Physician
8	163WH0200X	Home Health Registered Nurse
9	2251G0304X	Geriatric Physical Therapist
10	207QG0300X	Geriatric Medicine (Family Medicine) Physician
11	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1982417077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIONEER COMPREHENSIVE CARE INC.

Provider Business Mailing Address
First Line	:	1540 KELLER PKWY STE 108-112
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-4601
Country	:	US
Telephone Number	:	817-973-5331
Fax Number	:	817-973-5331

Provider Business Practice Location Address
First Line	:	4009 SAHARA CT
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4237
Country	:	US
Telephone Number	:	817-973-5331
Fax Number	:	817-973-5331

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	PHILLIP W CATES
Credential	:
Telephone Number	:	214-927-4567

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	06/15/2026

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