TIFFANY LEAH CLACK

DALLAS, TX
NPI1376817221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: TX  765246)
Enumeration Date2012-02-23
Last Update Date2022-03-30
Business Address
TIFFANY LEAH CLACK MSN-ANP
712 N. WASHINGTON AVE SUITE 415
DALLAS, TX 75246-1800
Phone number: 214-820-9115
Mailing Address
TIFFANY LEAH CLACK MSN-ANP
712 N WASHINGTON AVE SUITE 415
DALLAS, TX 75246-1619
Phone number: 214-820-9115
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