Individual
MRS. TANNA PIRTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4221 RIDGECREST RD STE 109, GREENVILLE, TX 75402-6015
(903) 455-9582
Mailing address
4221 RIDGECREST RD STE 109, GREENVILLE, TX 75402-6015
(903) 455-9582
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
1107538
TX
207VX0000X
Obstetrics Physician
Primary
1107538
TX
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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