Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIESSA LURAE SELF
ActiveTIESSA LURAE SELF is a Diagnostic Sonographer healthcare provider located in PASADENA, Texas. NPI 1588222772 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Sonographer · PASADENA, TX
Registration Details
- NPI Number
- 1588222772
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2019 (7.2077000911259 yrs)
- Last Updated
- Jun 3, 2019
- License
-
00103103 (TX)
Practice Information
- Address
-
927 STRAWBERRY RDPASADENA, TX, 775064821Browse TX providers · Browse ZIP 77506
- Phone
- 3463080720
- Primary Specialty
-
Diagnostic Sonographer
2471S1302X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.