Individual
DR. JACK WILLIAM PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 W ANDERSON LN, SUITE 308, AUSTIN, TX 78757-1036
(512) 454-8744
(512) 451-3447
Mailing address
3300 W ANDERSON LN, SUITE 308, AUSTIN, TX 78757-1036
(512) 454-8744
(512) 451-3447
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F9956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137143711
—
TX
01
—
8AE830
BCBS OF TEXAS INDIVIDUAL #
TX
Enumeration date
02/08/2006
Last updated
10/08/2008
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