Individual
DR. TIFFANY F MAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4833 INTEGRIS PKWY STE 325, EDMOND, OK 73034-8864
(405) 657-3658
(405) 657-3259
Mailing address
4833 INTEGRIS PKWY STE 325, EDMOND, OK 73034-8864
(405) 657-3658
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
33543
OK
390200000X
Student in an Organized Health Care Education/Training Program
BP10052918
TX
Other
Enumeration date
04/09/2015
Last updated
11/01/2021
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