Individual
THOMAS JOHN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-2034
Mailing address
2840 BARCO, GRAND PRAIRIE, TX 75054-6763
(214) 608-1674
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
723583
TX
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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