Individual
TIFFANY NICOLE CAWTHON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235
(214) 456-7000
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
766500
TX
Other
Enumeration date
11/15/2013
Last updated
08/29/2018
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