Individual
TIFFANY ROSE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
4100 DUVAL RD, AUSTIN, TX 78759-3550
(512) 346-3224
Mailing address
334 TRAVIS RD, PAIGE, TX 78659-4832
(818) 918-0141
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99524
TX
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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