Tiffany Smith

NPI #1083029714 in Fort Worth, Texas

Provider Information

NPI Number
1083029714
Entity Type
Individual
Name
Tiffany Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jun 20, 2014
Last Updated
Jun 20, 2014

Practice Location

Address
1500 CIRCLE DR
State
Texas
ZIP Code
76119
Phone
(817) 423-6320

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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