Tidwell, Eugenia Leonidivna

Tidwell, Eugenia Leonidivna is an individual health care provider with primary practice located at 7585 Kitty Hawk Rd Ste 201 , Converse TX 78109-2820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tidwell, Eugenia Leonidivna can be contacted via phone (210) 468-2333.

Contact Information

Primary practice address
7585 Kitty Hawk Rd Ste 201 Converse TX 78109-2820
Phone: (210) 468-2333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1087992 Texas

Profile Details

NPI number 1285369736
LBN Legal business name Tidwell, Eugenia Leonidivna
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2022
Last updated Jul 19th, 2022 - 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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