Katrina Tidwell, PA-C

NPI 1790912806 · on the registry since 2009

Practice

Address: 8196 Walnut Hill Ln
Ste 100
Dallas, TX 75231
Phone: (214) 739-4175
Fax: (214) 346-3516
Organisation at this address: 7 Chics And Wigs Llc
Oncology Pharmacy Services, Inc
Center For Molecular Imaging Limited Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-28

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