Debra Kay Tidmore
NPI #1720624018 in Haltom City, Texas
Provider Information
- NPI Number
- 1720624018
- Entity Type
- Individual
- Name
- Debra Kay Tidmore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Nov 21, 2019
- Last Updated
- Nov 21, 2019
Practice Location
- Address
- 3529 DENTON HWY STE D
- City
- Haltom City
- State
- Texas
- ZIP Code
- 76117-3293
- Phone
- (817) 759-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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