Tidwell, Lelon Darwin

Tidwell, Lelon Darwin is an sole proprietor health care provider with primary practice located at 11801 South Fwy , Burleson TX 76028-7021. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Tidwell, Lelon Darwin can be contacted via phone (817) 293-9110.

Contact Information

Primary practice address
11801 South Fwy Burleson TX 76028-7021
Phone: (817) 293-9110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 436290 Texas

Profile Details

NPI number 1225205677
LBN Legal business name Tidwell, Lelon Darwin
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 16 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 1225205677 NPPES
Texas Other 436290 RN LICENSE

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