TIFFANY SMITH

FORT WORTH, TX
NPI1083029714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: TX  703688)
Enumeration Date2014-06-20
Last Update Date2014-06-20
Business Address
-- TIFFANY SMITH
1500 CIRCLE DR
FORT WORTH, TX 76119
Phone number: 817-423-6320
Mailing Address
-- TIFFANY SMITH
4309 KYLEIGH DR
FORT WORTH, TX 76123
Phone number: 817-879-1139
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