Mrs Eugenia Leonidivna Tidwell, MSN, APRN, FNP-C | |
7585 Kitty Hawk Rd Ste 201, Converse, TX 78109-2820 | |
(210) 468-2333 | |
Not Available |
Full Name | Mrs Eugenia Leonidivna Tidwell |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7585 Kitty Hawk Rd Ste 201, Converse, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285369736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1087992 (Texas) | Primary |
Entity Name | K&s Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336491315 PECOS PAC ID: 3577709849 Enrollment ID: O20130412000072 |
Mailing Address | Practice Location Address |
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Mrs Eugenia Leonidivna Tidwell, MSN, APRN, FNP-C 7585 Kitty Hawk Rd Ste 201, Converse, TX 78109-2820 Ph: (210) 468-2333 | Mrs Eugenia Leonidivna Tidwell, MSN, APRN, FNP-C 7585 Kitty Hawk Rd Ste 201, Converse, TX 78109-2820 Ph: (210) 468-2333 |
Dr. Celeste L Dahl, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8455 Crestway Rd, Converse, TX 78109 Phone: 210-644-2700 | |
Mrs. Kristine Park, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7585 Kitty Hawk Ste 201, Converse, TX 78109 Phone: 210-468-2333 | |
Miss Alanda Rusawn White, MSN,APRN,FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9135 Schaefer Rd Ste 4, Converse, TX 78109 Phone: 210-281-5507 Fax: 210-290-9791 | |
Ashley E Martinez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9310 Daystar Pt, Converse, TX 78109 Phone: 786-543-4976 | |
Bianca N Lenzy, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6726 Slaton Flds, Converse, TX 78109 Phone: 210-707-0745 | |
Ms. Audrey Moody, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9422 Copperway, Converse, TX 78109 Phone: 210-322-0191 |