Dr. Tiffany April Coronado, DC, PharmD
Chiropractor in Beaumont, TX. Individual provider (NPI-1).
NPI number1366763187
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1366763187
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tiffany April Coronado
- Credential
- DC, PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2010
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 13483 | TX | Yes |
| 183500000X | Pharmacist | 47836 | TX |
Practice location
6356 Phelan BlvdBeaumont, TX 77706-6150
Phone 409-347-8606
Mailing address
6356 Phelan BlvdBeaumont, TX 77706-6150
Phone 409-347-8606
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