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Jackson Tidwell
NPI 1407708654 · on the registry since 2026 · sole proprietor
Practice
- Address
- 7402 93rd St
Lubbock, TX 79424 - Phone
- (806) 853-4098
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Sex
- Male
- Record last updated
- 2026-02-11
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