Provider Demographics
NPI:1326330796
Name:PIERSON, JAY WALTER SR (ATC, LAT, CSCS, PES)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:WALTER
Last Name:PIERSON
Suffix:SR
Gender:M
Credentials:ATC, LAT, CSCS, PES
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Mailing Address - Street 1:18200 KATY FWY FL 5
Mailing Address - Street 2:ORTHOPEDICS & SPORTS MEDICINE DEPT
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1285
Mailing Address - Country:US
Mailing Address - Phone:832-227-2445
Mailing Address - Fax:832-825-9335
Practice Address - Street 1:18200 KATY FWY FL 5
Practice Address - Street 2:ORTHOPEDICS & SPORTS MEDICINE DEPT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1285
Practice Address - Country:US
Practice Address - Phone:832-227-2445
Practice Address - Fax:832-825-9335
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2013-12-04
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Provider Licenses
StateLicense IDTaxonomies
TXAT25732255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer