KATRINA JEAN TIDWELL

DALLAS, TX
NPI1790912806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA03458)
Enumeration Date2009-06-16
Last Update Date2015-08-28
Business Address
KATRINA JEAN TIDWELL PA-C
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231-4452
Phone number: 214-739-4175
Mailing Address
KATRINA JEAN TIDWELL PA-C
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231-4452
Phone number: 214-739-4175
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