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Tiessa Lurae Self
Sonography Radiologic Technologist in Pasadena, Texas
NPI 1588222772

Tiessa Lurae Self is a Sonography Radiologic Technologist based in Pasadena, TX and is specialized in Sonography. Tiessa Lurae Self practices in Pasadena, TX. The NPI Number for Tiessa Lurae Self is 1588222772 and holds a License No. 00103103 (Texas).

The current practice location address for Tiessa Lurae Self is 927 Strawberry Rd, Pasadena, TX and can be reached out via phone at 346-308-0720.

Location: 927 Strawberry Rd, Pasadena, TX, 77506-4821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588222772
Provider Name
Tiessa Lurae Self
Credential
Provider Entity Type
Individual
Gender
Female
Address
927 Strawberry Rd, Pasadena, TX, 77506-4821
Phone Number
346-308-0720
Fax Number
Provider Enumeration Date
06/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
927 Strawberry Rd
City
Pasadena
State
Texas
Zip
77506-4821
Phone Number
346-308-0720
Fax Number
person
Provider Business Mailing Address Details
Address
927 Strawberry Rd
City
Pasadena
State
Texas
Zip
77506-4821
Phone Number
346-308-0720
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
2471S1302X
License No.
00103103 (Texas)
Definition
Definition to come...
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