Individual
TIFFANY S PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 W COMMERCE ST STE 3357, DALLAS, TX 75208-1953
(972) 533-4177
Mailing address
431 MAPLE GROVE RD, CEDAR HILL, TX 75104
(972) 533-4177
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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