Individual
CAROLYN ARLENE TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2050 WORTH RD, MEDCOM QM, FORT SAM HOUSTON, TX 78234-7533
(210) 221-6195
Mailing address
2050 WORTH RD, MEDCOM QM, FORT SAM HOUSTON, TX 78234-7533
(210) 221-6195
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD050719L
PA
Other
Enumeration date
12/28/2005
Last updated
01/03/2008
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