| NPI | 1194920967 |
|---|---|
| Other Name | DRS. TIDWELL AND FAULKS |
| Former Legal Business Name | TIDWELL AND FAULKS, DOCTORS OF OPTOMETRY, PLC |
| Entity Type | Organization |
| Authorized Contact | JAMIE LEIGH MILLER Certified Insurance Tech And Data E 615-446-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2018-06-16 |