Provider Demographics
NPI:1760433924
Name:PIERI, RICHARD E (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:E
Last Name:PIERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:C
Other - Last Name:MPIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12800 EDGEMERE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-2671
Mailing Address - Country:US
Mailing Address - Phone:915-504-6939
Mailing Address - Fax:915-504-6937
Practice Address - Street 1:12800 EDGEMERE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-2671
Practice Address - Country:US
Practice Address - Phone:915-504-6939
Practice Address - Fax:915-504-6937
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2341207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS113368Medicare UPIN