Pierce Primary Care Associates Pllc

LBN: Pierce Primary Care Associates Pllc
Pierce Primary Care Associates Pllc is an health care organization with primary practice located at 833 S Beckham Ave , Tyler TX 75701-1905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pierce Primary Care Associates Pllc can be contacted via phone (903) 780-4396, or through Pierce, Shawn via phone (903) 780-4396.

Contact Information

Primary practice address
833 S Beckham Ave Tyler TX 75701-1905
Phone: (903) 780-4396
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Shawn Doctor of Medicine (MD)
Phone: (903) 780-4396

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J4440 Texas

Profile Details

NPI number 1306964085
LBN Legal business name Pierce Primary Care Associates Pllc
DBA Doing business as
Authorized official Pierce, Shawn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jun 26th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306964085 NPPES
Texas MEDICAID 2055691-01

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