Provider Demographics
NPI:1588767727
Name:HARDMAN, TIFFANY NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:NICOLE
Last Name:HARDMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3990 SPRING VALLEY RD
Mailing Address - Street 2:APT. 725
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3481
Mailing Address - Country:US
Mailing Address - Phone:214-417-7857
Mailing Address - Fax:972-980-2453
Practice Address - Street 1:5323 SPRING VALLEY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-2414
Practice Address - Country:US
Practice Address - Phone:972-980-7131
Practice Address - Fax:972-980-2453
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor