Most Relevant Information
Provider Data
| NPI Number: | 1003458084 |
| Provider Name: | TIERRA ANDERSON RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: | RBT-19-95052 |
Most Important Dates
| Enumeration Date: | 10/11/2019 |
| Last Updated: | 10/11/2019 |
Provider Practice Location
7160 PRESTON RD STE 200
PLANO
TX
750243280
Practice Location Phone/Fax
| Phone: | 9727695938 |
| Fax: |
Provider Mailing Location
7160 PRESTON RD STE 200
PLANO
TX
750243280
Provider Mailing Phone/Fax
| Phone: | 9727695938 |
| Fax: |