person
Dr. Tiffany Overstreet Providence, DO
General Practice Physician in Dallas, Texas
NPI 1316267404

Tiffany Overstreet Providence is a General Practice Physician based in Dallas, TX. Tiffany Overstreet Providence practices in Dallas, TX and has the professional credentials of DO. The NPI Number for Tiffany Overstreet Providence is 1316267404 and holds a License No. 5101021534 (Texas).

The current practice location address for Tiffany Overstreet Providence is 4055 Valley View Ln Ste 400, Dallas, TX and can be reached out via phone at 469-466-7420.

Location: 4055 Valley View Ln Ste 400, Dallas, TX, 75244-5071
person
Provider Profile Details
NPI Number
1316267404
Provider Name
Tiffany Overstreet Providence
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4055 Valley View Ln Ste 400, Dallas, TX, 75244-5071
Phone Number
469-466-7420
Fax Number
Provider Enumeration Date
06/11/2010
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
4055 Valley View Ln Ste 400
City
State
Zip
75244-5071
Phone Number
469-466-7420
Fax Number
person
Provider Business Mailing Address Details
Address
4055 Valley View Ln Ste 400
City
State
Zip
75244-5071
Phone Number
469-466-7420
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
075202 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5101021534 (Michigan)
Definition
Definition to come...
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