Provider Demographics
NPI:1649405754
Name:PIGGIE, CLARENCE LEVI
Entity Type:Individual
Prefix:MR
First Name:CLARENCE
Middle Name:LEVI
Last Name:PIGGIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7523 BRAEBERRY CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2395
Mailing Address - Country:US
Mailing Address - Phone:281-277-8730
Mailing Address - Fax:
Practice Address - Street 1:7523 BRAEBERRY CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2395
Practice Address - Country:US
Practice Address - Phone:281-277-8730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other