Pierce, Jack William

Pierce, Jack William is an individual health care provider with primary practice located at 3300 W Anderson Ln Suite 308, Austin TX 78757-1036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pierce, Jack William can be contacted via phone (512) 454-8744.

Contact Information

Primary practice address
3300 W Anderson Ln Suite 308 Austin TX 78757-1036
Phone: (512) 454-8744
Fax: (512) 451-3447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F9956 Texas

Profile Details

NPI number 1346213774
LBN Legal business name Pierce, Jack William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 8th, 2008 - about 17 years ago

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 1346213774 NPPES
Texas MEDICAID 137143711
Texas Other 8AE830

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