Mrs Nedra G Tidwell, is a
Respite Care - Respite Care, Intellectual And/or Developmental Disabilities, Child based in Azle, Texas. Mrs Nedra G Tidwell is licensed to practice in Texas (license number 28761) and her current practice location is
7525 Portwood Rd, Azle, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 444-5665.
NPI number for Mrs Nedra G Tidwell is 1790959252 and her current mailing address is 7529 Portwood Rd, Azle, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790959252.
Provider's Profile
| Full Name | Mrs Nedra G Tidwell |
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| Gender | Female |
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| Speciality | Respite Care - Respite Care, Intellectual And/or Developmental Disabilities, Child |
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| Location | 7525 Portwood Rd, Azle, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790959252
- Provider Enumeration Date: 04/16/2008
- Last Update Date: 04/16/2008
Medical Identifiers
Medical identifiers for Mrs Nedra G Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790959252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 28761 (Texas) | Secondary |
| 385HR2060X | Respite Care - Respite Care, Intellectual And/or Developmental Disabilities, Child | 28761 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nedra G Tidwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Nedra G Tidwell,
7529 Portwood Rd,
Azle, TX 76020
Ph: (817) 444-5665 | Mrs Nedra G Tidwell,
7525 Portwood Rd,
Azle, TX 76020-5835
Ph: (817) 444-5665 |
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