Individual
BOBBY I PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3601 4TH ST, SUITE 3A105, LUBBOCK, TX 79430-8103
(806) 743-2391
(806) 743-5687
Mailing address
3601 4TH ST # MS 8321, LUBBOCK, TX 79430-8321
(806) 743-3849
(806) 743-5687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135127100
FIRSTCARE
TX
05
—
183145501
—
TX
05
—
200081390A
—
OK
01
—
202006417
PRESBYTERIAN COMMERCIAL
NM
05
—
202006417
—
NM
Enumeration date
06/07/2006
Last updated
02/03/2021
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