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TIFFANY PROVIDENCE, DO
DO
Diagnostic Radiology Physician
NPI: 1316267404IndividualAccepts Medicare
Specialties, Licenses & Credentials
Diagnostic Radiology PhysicianPrimary
Radiology — Diagnostic Radiology
Code: 2085R0202X
5101021534(MI)075202(GA)75202(GA)
General Practice Physician
General Practice
Code: 208D00000X
75202(GA)
CMS Specialties
PrimaryDIAGNOSTIC RADIOLOGY
Education
OTHER
Class of 2010
Contact & Hours
- Address
- 4055 VALLEY VIEW LN STE 400
DALLAS, TX 75244 - Phone
- (469) 466-7420
Quick Facts
- NPI
- 1316267404
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 1
- Years in Practice
- 16
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