Doctor Name: | DIANA MARIE PEIRCE |
NPI Number: | 1215113576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | H6507 |
Business Practice Address: | 3201 University Dr E Suite 370 Bryan, TX - 778023475 |
Business Phone Number: | 9797318660 |
Business Fax Number: | 9797318042 |
Mailing Address: | 3201 University Dr E, Suite 370 BRYAN |
State: | TX |
Postal Code: | 778023475 |
Phone Number: | 9797318660 |
Fax Number: | 9797318042 |
NPI Enumeration Date: | 01/17/2008 |
NPI Last Update Date: | 01/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H6507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |