Healthcare Provider Details
I. General information
NPI: 1295882173
Provider Name (Legal Business Name): TIFFANY TARRANT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/04/2007
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1701 SUNSET BLVD
HOUSTON TX
77005-1798
US
IV. Provider business mailing address
1701 SUNSET BLVD
HOUSTON TX
77005-1798
US
V. Phone/Fax
- Phone: 713-526-5511
- Fax: 713-578-1571
- Phone: 713-526-5511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | M9847 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: