Individual
COURTNEY SHEA PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13857 COUNTY ROAD 194, TYLER, TX 75703-6621
(903) 343-3069
Mailing address
13857 COUNTY ROAD 194, TYLER, TX 75703-6621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
787447
TX
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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