Tidwell, David Joshua

Tidwell, David Joshua is an individual health care provider with primary practice located at 25327 Interstate 45 , Spring TX 77380-3521. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tidwell, David Joshua can be contacted via phone (936) 207-4154.

Contact Information

Primary practice address
25327 Interstate 45 Spring TX 77380-3521
Phone: (936) 207-4154
Fax: (936) 207-4154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT7173 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1230520 Texas

Profile Details

NPI number 1922099670
LBN Legal business name Tidwell, David Joshua
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 31st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922099670 NPPES
Tennessee MEDICAID 3659498

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