Provider Demographics
NPI:1992241574
Name:PIERCE, ROBERT JOSH
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOSH
Last Name:PIERCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 GLADE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-4227
Mailing Address - Country:US
Mailing Address - Phone:940-765-8166
Mailing Address - Fax:817-887-1740
Practice Address - Street 1:1100 GLADE RD STE 2
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-4227
Practice Address - Country:US
Practice Address - Phone:940-765-8166
Practice Address - Fax:817-887-1740
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-06
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic