Individual
TIFFANY OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1021 HOLDEN ST STE 200, GLEN ROSE, TX 76043-4937
(254) 897-1645
(254) 897-1638
Mailing address
409 GLENWOOD ST STE 500, GLEN ROSE, TX 76043-4933
(254) 897-2202
(254) 897-1638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R189727
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
1043835
TX
Other
Enumeration date
07/29/2016
Last updated
06/22/2021
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