Tiffany Bankston

NPI #1841879749 in Canton, Texas

Provider Information

NPI Number: 1841879749
Entity Type: Individual
Name: Tiffany Bankston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Apr 7, 2021
Last Updated: Apr 7, 2021

Practice Location

Address: 1468 AVENUE C
City: Canton
State: Texas
ZIP Code: 75103-2020
Phone: (903) 802-2838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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