Healthcare Provider Details

I. General information

NPI: 1831339381
Provider Name (Legal Business Name): PILLAR HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 02/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11520 N CENTRAL EXPY STE 126
DALLAS TX
75243-6652
US

IV. Provider business mailing address

11520 N CENTRAL EXPY STE 126
DALLAS TX
75243-6652
US

V. Phone/Fax

Practice location:
  • Phone: 214-417-5766
  • Fax: 214-341-9997
Mailing address:
  • Phone: 214-417-5766
  • Fax: 214-341-9997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License NumberG0654
License Number StateTX

VIII. Authorized Official

Name: MR. BRIAN CRAIG
Title or Position: PRESIDENT & CEO
Credential: MA, THM, LPC
Phone: 214-417-5766