Individual
TISCIA OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PARAMEDICAL TECH
Contact information
Practice address
245 W STATE HIGHWAY 114 STE 130, SOUTHLAKE, TX 76092-3639
(469) 831-4695
Mailing address
1250 DOLAN DR, MONUMENT, CO 80132-2218
(469) 831-4695
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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