=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437334976
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOHN R PIERCE JR LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/03/2008
-----------------------------------------------------
Last Update Date | 03/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6699 CHIMNEY ROCK RD STE 102A
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77081-5339
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-949-4100
-----------------------------------------------------
Fax | 281-957-9757
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 471 E 1000 S STE D
-----------------------------------------------------
City | PLEASANT GROVE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84062-3694
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-949-4100
-----------------------------------------------------
Fax | 281-957-9757
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | ALICIA HERMOSILLO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 855-407-1227
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number | 264
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number | 101168
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------