Provider Demographics
NPI:1316717341
Name:PIERCE, AUSTIN (DC)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:PIERCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8150 N CENTRAL EXPY STE M1130
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-1883
Mailing Address - Country:US
Mailing Address - Phone:469-404-5460
Mailing Address - Fax:469-533-1995
Practice Address - Street 1:8150 N CENTRAL EXPY STE M1130
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-1883
Practice Address - Country:US
Practice Address - Phone:469-404-5460
Practice Address - Fax:469-533-1995
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15844111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor