Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiessa Lurae Self

Individual provider Sonography Radiologic Technologist · NPI 1588222772

Tiessa Lurae Self is a Sonography Radiologic Technologist in Pasadena, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019

Practice location Address checks out

927 Strawberry Rd
Pasadena, TX 77506-4821
Phone: (346) 308-0720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sonography Radiologic Technologist (primary) Taxonomy 2471S1302X · Licence 00103103 (TX)

Record details

NPI number1588222772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESJune 3, 2019