Individual
MRS. TIA PICOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
6124 W PARKER RD, PLANO, TX 75093-8122
(214) 778-1075
Mailing address
3901 W 15TH ST, PLANO, TX 75075-7738
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1007967
TX
Other
Enumeration date
09/08/2020
Last updated
11/11/2022
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