=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437372570
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PIERCE E HANDLEY D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4014 N 22ND ST
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78504-4101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-631-5106
-----------------------------------------------------
Fax | 956-631-5107
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18947 FM 2556
-----------------------------------------------------
City | SANTA ROSA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78593-2117
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-636-1852
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 5557
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------