1497033922 NPI number — MRS. TIFFANY HUIZAR ASHENFELTER LPC

Table of content: MRS. TIFFANY HUIZAR ASHENFELTER LPC (NPI 1497033922)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497033922 NPI number — MRS. TIFFANY HUIZAR ASHENFELTER LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASHENFELTER
Provider First Name:
TIFFANY
Provider Middle Name:
HUIZAR
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUIZAR
Provider Other First Name:
TIFFANY
Provider Other Middle Name:
KATE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497033922
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6600 LBJ FREEWAY
Provider Second Line Business Mailing Address:
STE 245
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75240-6514
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-563-8980
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6600 LBJ FREEWAY
Provider Second Line Business Practice Location Address:
STE 245
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75240-6514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-563-8980
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  63016 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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