Terry Tidwell, LVN
NPI #1649466798 in Springtown, Texas
Provider Information
- NPI Number
- 1649466798
- Entity Type
- Individual
- Name
- Terry Tidwell, LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Sep 22, 2007
- Last Updated
- Sep 22, 2007
Practice Location
- Address
- 436 S MAIN ST
- City
- Springtown
- State
- Texas
- ZIP Code
- 76082-2608
- Phone
- (817) 523-3084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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