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Individual

DR. TIFFANY CARO BURNS

Active
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Individual

DR. TIFFANY CARO BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7074
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629289897
BLUE CROSS BLUE SHIELD
TX
05
—
191251102
—
TX
05
—
191521103
—
TX
01
—
8CG377
BLUE CROSS BLUE SHIELD
TX
01
—
P00963008
RR MEDICARE
TX
01
—
P01312374
RR MEDICARE
TX
Enumeration date
05/26/2007
Last updated
03/14/2016
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