Individual
LAURA TIEHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 FOREST LN STE C300J, DALLAS, TX 75230-2604
(972) 566-7730
(972) 566-7437
Mailing address
7777 FOREST LN STE C300J, DALLAS, TX 75230-2604
(972) 566-7730
(972) 566-7437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
747065
TX
Other
Enumeration date
11/29/2012
Last updated
12/08/2020
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