Provider Demographics
NPI:1851377204
Name:PIERCE, STEVEN ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ANTHONY
Last Name:PIERCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1736 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75766-5831
Mailing Address - Country:US
Mailing Address - Phone:903-586-0808
Mailing Address - Fax:903-586-5457
Practice Address - Street 1:1736 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-5831
Practice Address - Country:US
Practice Address - Phone:903-586-0808
Practice Address - Fax:903-586-5457
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5287111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00060347OtherRAILROAD MEDICARE
TX1576829-01Medicaid
TX606427OtherBLUE CROSS BLUE SHIELD
TX606427OtherBLUE CROSS BLUE SHIELD
TX609809Medicare ID - Type Unspecified