# CHARLES K. PEIRCE, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033207618
- **Authorized official:** CHARLES KEVIN PEIRCE M.D. (PRESIDENT)
- **Authorized official phone:** (979) 731-8660

## Contact information

- **Practice address:** 3201 UNIVERSITY DR E, SUITE 440, BRYAN, TX 77802-3475
- **Practice address phone:** (979) 731-8660
- **Mailing address:** 3201 UNIVERSITY DR E, SUITE 440, BRYAN, TX 77802-3475
- **Mailing address phone:** (979) 731-8660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 12/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0088PV | BLUE CROSS PROVIDER NUMBER | TX |
| 01 | — | 00U13R | BLUE CROSS PROVIDER NUMBE | TX |
| 05 | — | 126609005 | — | TX |
| 05 | — | 200220601 | — | TX |