Provider Demographics
NPI:1003312919
Name:TESSIER, EMMA NOELLE
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:NOELLE
Last Name:TESSIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5680 FRISCO SQUARE BLVD STE 2700
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-3316
Mailing Address - Country:US
Mailing Address - Phone:402-218-8281
Mailing Address - Fax:
Practice Address - Street 1:5680 FRISCO SQUARE BLVD STE 2700
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3316
Practice Address - Country:US
Practice Address - Phone:972-668-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-01
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.072821207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology