Provider Demographics
NPI:1598933251
Name:LAWRENCE SCOTT PIERCE MD PA
Entity Type:Organization
Organization Name:LAWRENCE SCOTT PIERCE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-747-4711
Mailing Address - Street 1:1105 CENTRAL EXPWY N
Mailing Address - Street 2:STE 380
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:972-747-7411
Mailing Address - Fax:972-747-4799
Practice Address - Street 1:1105 CENTRAL EXPWY N
Practice Address - Street 2:STE 380
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:972-747-7411
Practice Address - Fax:972-747-4799
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAWRENCE SCOTT PIERCE MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8820207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C20519Medicare UPIN
00HK31Medicare PIN