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Organization
MAGNIFICENT ADVANCED AESTHETICS PLLC
Active
Organization
MAGNIFICENT ADVANCED AESTHETICS PLLC
Active
Other names
Magnificent Advanced Aesthetics PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIREYA LISS NP (CEO)
(972) 741-0484
Entity
Organization
Contact information
Practice address
333 E BETHANY DR STE J130, ALLEN, TX 75002-3826
(972) 741-0484
Mailing address
333 E BETHANY DR STE J130, ALLEN, TX 75002-3826
(972) 741-0484
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
05/30/2026
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