black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TIFFANY WAECHTER TALLEY

PRODUCER NON-RESIDENT

License Number:
PRN453691
Status:
First Licensure:
06/07/2023
Cancel Date:
None

Mailing:
HOUSTON, TX 77070
Phone:
+1 (234) 231-1880
Fax:
+1 (234) 231-1880
Email:
licensing@pethealthinc.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/07/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
PTZ INS AGENCY LTD
07/10/2023 AGN161448 09/06/2024

Employer

Name Issue Date License Number Expiration Date Cancel Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
09/11/2023 PCF86149 04/29/2024
NORTH RIVER INSURANCE COMPANY
07/14/2023 PCF698
UNITED STATES FIRE INSURANCE COMPANY
07/14/2023 PCF101256

Authority

Description Issue Date Termination Date Status
CASUALTY 06/07/2023 Active
PROPERTY 06/07/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20723201

Other Addresses

Address Type
13618 SHELTON GROVE DR
HOUSTON, TX 77070-5590
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/17/2025 02:04:16 AM