Individual
DR. TIFFANY OVERSTREET PROVIDENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4055 VALLEY VIEW LN STE 400, DALLAS, TX 75244-5071
(469) 466-7420
Mailing address
4055 VALLEY VIEW LN STE 400, DALLAS, TX 75244-5071
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
075202
GA
2085R0202X
Diagnostic Radiology Physician
5101021534
MI
2085R0202X
Diagnostic Radiology Physician
75202
GA
208D00000X
General Practice Physician
75202
GA
Other
Enumeration date
06/11/2010
Last updated
05/09/2024
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