# MAGNIFICENT ADVANCED AESTHETICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnificent Advanced Aesthetics PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790417541
- **Authorized official:** MRS. MIREYA LISS NP (CEO)
- **Authorized official phone:** (972) 741-0484

## Contact information

- **Practice address:** 333 E BETHANY DR STE J130, ALLEN, TX 75002-3826
- **Practice address phone:** (972) 741-0484
- **Mailing address:** 333 E BETHANY DR STE J130, ALLEN, TX 75002-3826
- **Mailing address phone:** (972) 741-0484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2022
- **Last updated:** 05/30/2026