TIESSA LURAE SELF (NPI# 1588222772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588222772 |
| Entity Type | Individual |
| Full Name | TIESSA LURAE SELF |
| Practice Address |
927 Strawberry Rd Pasadena TX 77506-4821 |
| Practice Telephone | 3463080720 |
| Mailing Telephone | 3463080720 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
00103103 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
927 STRAWBERRY RD |
| City | PASADENA |
| State | TX |
| Zip Code | 77506-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315390 | Burke Childrens Pllc | Pediatrics | 900 West Jackson Ave, Suite 170, Pasadena, TX 77506 | 2020-01-10 |
| 1285276741 | Concepcion Salamanca | Technician | 507 Live Oak St., Pasadena, TX 77506 | 2019-10-16 |
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1073022091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 400 Park Ln, Suite M, Pasadena, TX 77506 | 2017-09-21 |
| 1386080844 | Effie Juanita Wilkerson | Pharmacist | 927 East Shaw Rd, Pasadena, TX 77506 | 2013-05-10 |
| 1083988307 | Benjamin F Contreras | Dentist | 1027 Main Street, Suite A, Pasadena, TX 77506 | 2012-03-05 |
| 1386950699 | Yen Hoang Nguyen | Pharmacist | 927 East Shaw Road, Pasadena, TX 77506 | 2010-08-24 |
| 1104065135 | Rashmi Rode | Family Medicine | 927 E Shaw St, Pasadena, TX 77506 | 2009-02-15 |
| 1265687974 | Preethi Vijay Nambi | Internal Medicine | 927, E Shaw Road, Pasadena, TX 77506 | 2008-11-21 |
| 1841364676 | Dino J. Demetriou | Chiropractor | 1120 Pasadena Blvd, Pasadena, TX 77506 | 2006-11-20 |
| Find all providers in zip 77506 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801842430 | P & A Diagnostic Services Corp | Radiologic Technologist | 2500 E Foothill Blvd, Suite 408, Pasadena, CA 91107-3464 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924730 | Michael Testa Jr. | Radiologic Technologist | 3801 N Lamar Blvd # 350, Austin, TX 78756-4080 | 2020-05-27 |
| 1174143713 | Casey Lunt | Radiologic Technologist | 4621 Dusk Meadow Dr, Carrollton, TX 75010-2069 | 2020-04-23 |
| 1083242093 | Bridget Andersen | Radiologic Technologist | 4618 Avenue R 1/2, Galveston, TX 77551-5327 | 2020-03-27 |
| 1972141901 | Reynaldo Reyes | Radiologic Technologist | 9801 Royal Ln Apt 307, Dallas, TX 75231-1825 | 2019-12-20 |
| 1790224210 | Makeba Waller | Radiologic Technologist | 1719 Almond Dr, Mansfield, TX 76063-2916 | 2017-02-16 |
| 1275922445 | Brandon Holbert | Radiologic Technologist | 310 San Mateo Ct, Irving, TX 75062-4509 | 2015-01-12 |
| 1346657921 | Kellie A Arce | Radiologic Technologist | 2056 Sundance Pkwy Apt 2320, New Braunfels, TX 78130-2790 | 2014-07-16 |
| 1205242674 | Shiva Ghazizadeh | Radiologic Technologist | 1304 W Branch Hollow Dr, Carrollton, TX 75007-1144 | 2014-07-07 |
| 1336562461 | Rajesh Mehta | Radiologic Technologist | 3527 Highway 6, Suite 270, Sugar Land, TX 77478-4519 | 2014-01-24 |
| 1932521697 | Amber Yound | Radiologic Technologist | 350 W Highland Blvd, San Angelo, TX 76903-7313 | 2014-01-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.