NPI 1013973791

Charles Crowell Pierce, PA

Practitioner Physician Assistant Tyler, TX

Practice location

Address: 619 S Fleishel Ave STE 305, Tyler, TX 75701-2004
Phone: (903) 606-1173
Mailing address: PO Box 846098, Dallas, TX 75284-6098

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA05595 (TX)

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Registry record

NPI: 1013973791
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2006
Record last updated: 29 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.