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NPI Code Detail

MEDICARE: DR. TIFFANY DAISY JOE M.D.

MEDICARE:  DR. TIFFANY DAISY JOE  M.D.
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
1207P00000XEmergency Medicine PhysicianP2691TX
2207P00000XEmergency Medicine PhysicianA114234CA

General Provider Information

NPI Number : 1124259767
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANY DAISY JOE M.D.
Provider Business Mailing Address
First Line : 1800 HARRISON ST, 7TH FL
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3429
Country : US
Telephone Number : 510-625-4101
Fax Number : 877-738-4262
Provider Business Practice Location Address
First Line : 900 WEST AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2210
Country : US
Telephone Number : 512-947-1897
Fax Number : 512-487-5376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2009
Last Update Date : 01/25/2022

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Directions to “ DR. TIFFANY DAISY JOE M.D.” Practice Location

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