Provider Demographics
NPI:1043737489
Name:ARMSTRONG, TIFFANY
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 851489
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75185
Mailing Address - Country:US
Mailing Address - Phone:972-795-1169
Mailing Address - Fax:844-381-0917
Practice Address - Street 1:346 OAKS TRL STE 116
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4095
Practice Address - Country:US
Practice Address - Phone:972-795-1169
Practice Address - Fax:844-711-5299
Is Sole Proprietor?:No
Enumeration Date:2017-08-26
Last Update Date:2017-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator