Individual
TIFFANY S REECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
712207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196288801
—
TX
01
—
8Y8668
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/12/2008
Last updated
11/30/2012
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