Moffett, Tiffany I

Moffett, Tiffany I is an individual health care provider with primary practice located at 6621 Fannin St , Houston TX 77030-2303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moffett, Tiffany I can be contacted via phone (832) 824-0479.

Contact Information

Primary practice address
6621 Fannin St Houston TX 77030-2303
Phone: (832) 824-0479
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 688797 Texas

Profile Details

NPI number 1649309832
LBN Legal business name Moffett, Tiffany I
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649309832 NPPES
Texas Other 09152 UTMB PROVIDER NUMBER

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