Healthcare Provider Details

I. General information

NPI: 1831575802
Provider Name (Legal Business Name): SANDRA MARIE PIERCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17811 DOVE PASS CT
RICHMOND TX
77407-2095
US

IV. Provider business mailing address

17811 DOVE PASS CT
RICHMOND TX
77407-2095
US

V. Phone/Fax

Practice location:
  • Phone: 832-921-4072
  • Fax: 866-264-8890
Mailing address:
  • Phone: 832-921-4072
  • Fax: 866-264-8890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: