Provider Information for 1801460407
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TIFFANY J CURTIS
Sex: Female
NPI: 1801460407
Last Updated: 2023-11-02
Certification Date: 2023-11-02
Certification Date: 2023-11-02
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801460407 | ||||||||||||
| Enumeration Date | 2021-05-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 2526 JOPLIN, MO 64803-2526 United States Phone: 417-347-7580 | Fax: | ||||||||||||
| Primary Practice Address | 4635 SOUTHWEST FWY STE 635 HOUSTON, TX 77027-7112 United States Phone: 713-850-0049 | Fax: | ||||||||||||
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