Provider Demographics
NPI:1407448897
Name:BRYANT, TIFFANIE L (RHIA)
Entity Type:Individual
Prefix:MS
First Name:TIFFANIE
Middle Name:L
Last Name:BRYANT
Suffix:
Gender:F
Credentials:RHIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2629 S GRAND PENINSULA DR APT 606
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-7318
Mailing Address - Country:US
Mailing Address - Phone:817-258-1090
Mailing Address - Fax:
Practice Address - Street 1:2629 S GRAND PENINSULA DR APT 606
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75054-7318
Practice Address - Country:US
Practice Address - Phone:817-258-1090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0022695246YR1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246YR1600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationRegistered Record Administrator