Individual
MICHAEL TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0551
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFO03943
TX
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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