Provider Demographics
NPI:1497550172
Name:FURR, TIFFANY G
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:G
Last Name:FURR
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 1:7011 W PARMER LN APT 730
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-6939
Mailing Address - Country:US
Mailing Address - Phone:479-283-0611
Mailing Address - Fax:
Practice Address - Street 1:7011 W PARMER LN APT 730
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-6939
Practice Address - Country:US
Practice Address - Phone:479-283-0611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker