Individual
TIFFANIE JACQUESS RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17600 INTERSTATE 45 S, THE WOODLANDS, TX 77384-5148
(936) 267-5000
Mailing address
2119 WESTHEIMER RD APT 1509, HOUSTON, TX 77098-0027
(205) 915-0824
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
12/22/2025
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