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Individual

DR. TIFFANY RUTH PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4141
Mailing address
340 TREELINE PARK APT 636, SAN ANTONIO, TX 78209-1839
(970) 361-7082

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DR.0076342
CO

Other

Enumeration date
06/07/2024
Last updated
12/13/2025
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