Provider Demographics
NPI:1598153389
Name:PEARCE, CARLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:CARLEY
Middle Name:
Last Name:PEARCE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 KELLER PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3762
Mailing Address - Country:US
Mailing Address - Phone:469-515-9051
Mailing Address - Fax:817-288-0605
Practice Address - Street 1:1834 KELLER PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3762
Practice Address - Country:US
Practice Address - Phone:469-515-9051
Practice Address - Fax:817-288-0605
Is Sole Proprietor?:No
Enumeration Date:2014-12-31
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor