Healthcare Provider Details

I. General information

NPI: 1417028770
Provider Name (Legal Business Name): MARTHA J PINEIRO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 WORTH ST STE 500
DALLAS TX
75246-2006
US

IV. Provider business mailing address

6397 BLUFFVIEW DR
FRISCO TX
75034-7255
US

V. Phone/Fax

Practice location:
  • Phone: 214-370-1547
  • Fax: 214-370-1512
Mailing address:
  • Phone: 972-987-8135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number32463
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: