Healthcare Provider Details

I. General information

NPI: 1306102041
Provider Name (Legal Business Name): PIRF OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 MARSH LN SUITE B
PLANO TX
75093-8497
US

IV. Provider business mailing address

1500 WATERS RIDGE DR
LEWISVILLE TX
75057-6011
US

V. Phone/Fax

Practice location:
  • Phone: 972-899-4401
  • Fax:
Mailing address:
  • Phone: 972-899-4401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateTX

VIII. Authorized Official

Name: JOHN PAUL TAYLOR
Title or Position: CEO/AUTHORIZED OFFICER
Credential:
Phone: 972-899-4126