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1366632325
SCOTT TIDWELL
HOUSTON, TX
NPI
1366632325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2665)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
-- SCOTT TIDWELL LAT
6560 FANNIN ST SUITE 450
HOUSTON, TX 77030-2761
Phone number: 713-357-7440
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Mailing Address
-- SCOTT TIDWELL LAT
PO BOX 566
HARDIN, TX 77561-0566
Phone number: 936-298-1973
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