JUSTIN TIDWELL

LUBBOCK, TX
NPI1639199862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TX  L5926)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Dr. JUSTIN TIDWELL m.d.
604 INDIANA
LUBBOCK, TX 79415
Phone number: 806-775-9700
Mailing Address
Dr. JUSTIN TIDWELL m.d.
3804 53RD ST
LUBBOCK, TX 79413-3824
Phone number: 806-795-0914
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