Individual
TIANNA PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2216 RIVERWAY DR, DALLAS, TX 75227-8120
(469) 810-4173
Mailing address
2216 RIVERWAY DR, DALLAS, TX 75227-8120
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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