Individual
TIFFANY RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6632 MATTNEY DR, DALLAS, TX 75237-2447
(214) 713-6267
Mailing address
6632 MATTNEY DR, DALLAS, TX 75237-2447
(214) 713-6267
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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