Individual
TIFFANY TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4629 RIVERPARK DR, FORT WORTH, TX 76137-1835
(817) 915-3187
Mailing address
4629 RIVERPARK DR, FORT WORTH, TX 76137-1835
(817) 915-3187
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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