Tidwell Rx Llc

NPI 1215210125 - Clinic/Center - 261QC1500X

NPI Details
NPI 1215210125
Enumeration Date 09/27/2011
Last Updated 09/27/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name STEVE STEVE
Position OWNER
Phone (713) 884-8020
Fax (713) 884-8041
Practice Location
712 E TIDWELL RD
SUITE C
HOUSTON TX, 77022-1841, US
Phone (713) 884-8020
Fax (713) 884-8041
Business Location
712 E TIDWELL RD
SUITE C
HOUSTON TX, 77022-1841, US
Phone (713) 884-8020
Fax (713) 884-8041
Toxanomy
Taxonomy Code 261QC1500X
License State Texas
License Number 27603
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According to our database, Tidwell Rx Llc NPI is 1215210125, taxonomy code is 261QC1500X and license number is 27603, license state is located at Texas. Tidwell Rx Llc physically located at 712 E Tidwell Rd, Houston TX, 77022-1841. NPI Number 1033115704 has the healthcare provider type.

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1215210125 NPI number is provided on an as is basis without warranty of any kind. 1215210125 is maintained by the National Plan & Provider Enumeration System. The contents of Tidwell Rx Llc are for informational purposes only.