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1649361965
THOMAS WESLEY STIDVENT
WACO, TX
NPI
1649361965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: TX E2879)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Dr. THOMAS WESLEY STIDVENT M.D.
3501 N 19TH ST
WACO, TX 76708-2007
Phone number: 254-756-2171
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Mailing Address
Dr. THOMAS WESLEY STIDVENT M.D.
8216 TEAKWOOD DR
WACO, TX 76712-2426
Phone number: 254-776-1084
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