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Organization
TIDWELL HOSPITALIST SERVICES, PA
Active
Organization
TIDWELL HOSPITALIST SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE GARCIA (BUSINESS MANAGER)
(713) 991-0930
Entity
Organization
Contact information
Practice address
17030 NANES DR STE 106, HOUSTON, TX 77090-2531
(281) 893-8100
(281) 840-6892
Mailing address
PO BOX 1218, BELLAIRE, TX 77402-1218
(281) 893-8100
(281) 840-6892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L8271
MD LICENSE
TX
Enumeration date
06/09/2009
Last updated
10/09/2009
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