Individual
MRS. TIFFANIE BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-8595
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-8595
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
620317
TX
Other
Enumeration date
02/19/2009
Last updated
03/31/2021
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