Provider Demographics
NPI:1235103300
Name:PIERCE, SANDRA KAY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:KAY
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:18 WOODED WAY
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-9617
Mailing Address - Country:US
Mailing Address - Phone:512-244-9165
Mailing Address - Fax:
Practice Address - Street 1:2120 N MAYS ST
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2108
Practice Address - Country:US
Practice Address - Phone:512-255-5120
Practice Address - Fax:512-255-5268
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical