Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY SMITH
Active Sole ProprietorTIFFANY SMITH is a Health Maintenance Organization healthcare provider located in FORT WORTH, Texas. NPI 1083029714 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · FORT WORTH, TX
Registration Details
- NPI Number
- 1083029714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2014 (12.185163980334 yrs)
- Last Updated
- Jun 20, 2014
- License
-
703688 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 CIRCLE DRFORT WORTH, TX, 76119Browse TX providers · Browse ZIP 76119
- Phone
- 8174236320
- Primary Specialty
-
Health Maintenance Organization
302R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.