Individual
ERIC TIDLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3007 CAROLINE ST, HOUSTON, TX 77004-2822
(713) 528-2328
Mailing address
5631 DRAKESTONE BLVD, HOUSTON, TX 77053-2010
(713) 434-1353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26747
TX
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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