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Hildano Kidangathazha

NPI 1922762418 · on the registry since 2021

Practice

Address
4210 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone
(432) 368-7744
Organisation at this address
Wal-Mart Stores Texas Llc
Wal-Mart Stores Texas, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-29

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