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Tiessa Self

NPI 1588222772 · on the registry since 2019

Practice

Address
927 Strawberry Rd
Pasadena, TX 77506
Phone
(346) 308-0720

Registry record

Primary taxonomy
2471S1302X
2471S1302X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas