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NPI Code Detail

MEDICARE: MR. CLARENCE LEVI PIGGIE

MEDICARE:  MR. CLARENCE LEVI PIGGIE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1649405754
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CLARENCE LEVI PIGGIE
Provider Business Mailing Address
First Line : 7523 BRAEBERRY CT
Second Line :
City : RICHMOND
State : TX
Zip : 77407-2395
Country : US
Telephone Number : 281-277-8730
Fax Number :
Provider Business Practice Location Address
First Line : 7523 BRAEBERRY CT
Second Line :
City : RICHMOND
State : TX
Zip : 77407-2395
Country : US
Telephone Number : 281-277-8730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2009
Last Update Date : 05/18/2009

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Directions to “ MR. CLARENCE LEVI PIGGIE ” Practice Location

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