Doctor Name: | MS. SHIRLEY ANN PEARCE |
NPI Number: | 1073717252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS, LVN |
License Number: | L9626 |
Business Practice Address: | 708 E Brown St Alpine, TX - 798303208 |
Business Phone Number: | 4328373433 |
Business Fax Number: | 4328377309 |
Mailing Address: | 708 E Brown St, ALPINE |
State: | TX |
Postal Code: | 798303208 |
Phone Number: | 4328373433 |
Fax Number: | 4328377309 |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 09/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | L9626 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |