Provider Demographics
NPI:1194493304
Name:P.IYERE GROUP LLC
Entity type:Organization
Organization Name:P.IYERE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:IYERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-326-3355
Mailing Address - Street 1:5330 N MACARTHUR BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3166
Mailing Address - Country:US
Mailing Address - Phone:469-998-7326
Mailing Address - Fax:
Practice Address - Street 1:5330 N MACARTHUR BLVD STE 120
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-3166
Practice Address - Country:US
Practice Address - Phone:469-998-7326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care