Individual
MRS. TIFFANY ELIZABETH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12500 JUDSON RD STE 210, LIVE OAK, TX 78233-4146
(210) 878-0090
Mailing address
12500 JUDSON RD STE 210, LIVE OAK, TX 78233-4146
(210) 878-0090
(210) 878-0037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
800599
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
1228890
TX
Other
Enumeration date
07/15/2024
Last updated
04/27/2026
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