Search › Texas › 1835P0018X
Crockett Tidwell, RPH
NPI 1013319714 · on the registry since 2014
Practice
- Address
- 4205 98th St
Lubbock, TX 79423 - Phone
- (806) 798-6115
- Fax
- (806) 798-6117
- Organisation at this address
- United Supermarkets Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas