Individual
TIYLER LISA BRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 ORCHID DR APT A, PRINCETON, TX 75407-1159
(214) 228-2929
Mailing address
550 N CENTRAL EXPY UNIT 524, MCKINNEY, TX 75070-0027
(214) 228-2929
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
120993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000-00-0000
UNITED HEALTHCARE
TX
Enumeration date
03/23/2022
Last updated
03/23/2022
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