Search › Texas › 2085R0202X
Tiffany Providence, DO
NPI 1316267404 · on the registry since 2010
Practice
- Address
- 4055 Valley View Ln Ste 400
Dallas, TX 75244 - Phone
- (469) 466-7420
- Organisation at this address
- Ch Ga Dekalb Llc
Ch Ga Georgia Llc
Censeo Health Llc
Ch Md Maryland Pc
Signify Health, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 244
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
2085R0202X
208D00000X - Licence states on file
- MI, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas