Stephanie G Pierce Et Al Ptr | |
1850 W Lake Houston Pkwy 190 Kingwood TX 77339-5237 | |
(281) 361-2902 | |
(281) 361-5792 |
Full Name | Stephanie G Pierce Et Al Ptr |
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Speciality | Family Medicine |
Location | 1850 W Lake Houston Pkwy, Kingwood, Texas |
Authorized Official Name and Position | Stephanie Lynn Gross Pierce (M.D./OWNER) |
Authorized Official Contact | 2813612902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stephanie G Pierce Et Al Ptr 1850 W Lake Houston Pkwy 190 Kingwood TX 77339-5237 Ph: (281) 361-2902 | Stephanie G Pierce Et Al Ptr 1850 W Lake Houston Pkwy 190 Kingwood TX 77339-5237 Ph: (281) 361-2902 |
NPI Number | 1760662647 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 11/05/2012 |
Medicare PECOS PAC ID | 8921034596 |
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Medicare Enrollment ID | O20050714000671 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760662647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Texas) | Primary |
Provider Name | Stephanie L Gross Pierce |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912085051 PECOS PAC ID: 2961452842 Enrollment ID: I20050127001143 |
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