LELON DARWIN TIDWELL

BURLESON, TX
NPI1225205677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: TX  436290)
Enumeration Date2008-05-14
Last Update Date2008-05-14
Business Address
-- LELON DARWIN TIDWELL RNFA
11801 SOUTH FWY
BURLESON, TX 76028-7021
Phone number: 817-293-9110
Mailing Address
-- LELON DARWIN TIDWELL RNFA
PO BOX 11219
FORT WORTH, TX 76110-0219
Phone number: 817-294-7444