Individual
TIFFANY L ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 FOREST LN STE B446, DALLAS, TX 75230
(972) 566-8822
(972) 566-8861
Mailing address
7777 FOREST LN STE B446, DALLAS, TX 75230-2571
(972) 566-8822
(972) 566-8861
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
M9808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198139101
—
TX
05
—
198139103
—
TX
05
—
198139104
—
TX
01
—
8H8678
BC/BS
TX
Enumeration date
07/17/2008
Last updated
07/01/2019
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