Provider Demographics
NPI:1528228426
Name:STINSON, TIFFANY V (RN)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:V
Last Name:STINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3911 CORAL SHADOWS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7642
Mailing Address - Country:US
Mailing Address - Phone:281-599-9190
Mailing Address - Fax:
Practice Address - Street 1:3911 CORAL SHADOWS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7642
Practice Address - Country:US
Practice Address - Phone:281-599-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX701073171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator