Individual
EVA JAMILLE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
323 E HAWKINS PKWY, SUITE A, LONGVIEW, TX 75605-7905
(903) 758-2746
(903) 758-7127
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204027104
—
TX
01
—
8LH986
BCBS
TX
Enumeration date
06/20/2006
Last updated
10/08/2019
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