Charles Crowell Pierce, PA | |
619 S Fleishel Ave Ste 305, Tyler, TX 75701-2004 | |
(903) 606-1173 | |
Not Available |
Full Name | Charles Crowell Pierce |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 19 Years |
Location | 619 S Fleishel Ave Ste 305, Tyler, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013973791 | NPI | - | NPPES |
214077401 | Medicaid | TX | |
752616977006 | Other | TX | TRICARE |
824N49 | Other | TX | BCBS |
752616977-103 | Other | TX | TRICARE |
75-2616977-095 | Other | TX | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA05595 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Christus Good Shepherd Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Mailing Address | Practice Location Address |
---|---|
Charles Crowell Pierce, PA Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Charles Crowell Pierce, PA 619 S Fleishel Ave Ste 305, Tyler, TX 75701-2004 Ph: (903) 606-1173 |
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