Organization
JOHN R PIERCE JR LLC
Active
Organization
JOHN R PIERCE JR LLC
Active
Other names
Goal Pediatric Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HERMOSILLO (ADMIN)
(801) 830-6161
Entity
Organization
Contact information
Practice address
622 FM 517 W, DICKINSON, TX 77539
(409) 949-4100
(281) 334-8874
Mailing address
471 E 1000 S STE D, PLEASANT GROVE, UT 84062-3694
(801) 830-6161
(281) 334-8874
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010721101
—
TX
Enumeration date
11/02/2007
Last updated
08/14/2025
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