Individual
CHRISTINE TIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA09001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359298201
—
TX
05
—
359298202
—
TX
Enumeration date
04/09/2014
Last updated
10/05/2022
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