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Individual

KARL RANDY PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H8325
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3305739
BLUE LINK
01
4471011
AETNA
05
8B9306
TX
01
8M5281
BC
01
P00141002
RAILROAD MEDICARE
Enumeration date
08/03/2005
Last updated
07/01/2013
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