Pierce, Charles Crowell

Pierce, Charles Crowell is an individual health care provider with primary practice located at 619 S Fleishel Ave Ste 305 , Tyler TX 75701-2004. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pierce, Charles Crowell can be contacted via phone (903) 606-1173.

Contact Information

Primary practice address
619 S Fleishel Ave Ste 305 Tyler TX 75701-2004
Phone: (903) 606-1173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05595 Texas

Profile Details

NPI number 1013973791
LBN Legal business name Pierce, Charles Crowell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Nov 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013973791 NPPES
Texas MEDICAID 214077401
Texas Other 752616977006
Texas Other 824N49
Texas Other 752616977-103
Texas Other 75-2616977-095

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