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NPI Code Detail

MEDICARE: TIFFNEY HILL

MEDICARE:   TIFFNEY  HILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriver

General Provider Information

NPI Number : 1114647724
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFNEY HILL
Provider Business Mailing Address
First Line : 539 W COMMERCE ST STE 1894
Second Line :
City : DALLAS
State : TX
Zip : 75208-1953
Country : US
Telephone Number : 800-656-4369
Fax Number :
Provider Business Practice Location Address
First Line : 637 SAMUELS AVE APT 3069
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-1450
Country : US
Telephone Number : 513-601-5834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2022
Last Update Date : 04/22/2025

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Directions to “ TIFFNEY HILL ” Practice Location

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