Individual
MARGARET VIDAL-KUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
928 N GLENWOOD BLVD, TYLER, TX 75702-5055
(903) 535-9041
Mailing address
523 S FANNIN AVE, TYLER, TX 75702-8204
(903) 535-9041
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
597340
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
AP107251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021YB
BCBS
TX
05
—
042516702
—
TX
05
—
042516703
—
TX
05
—
042516704
—
TX
05
—
042516705
—
TX
05
—
042516706
—
TX
05
—
042516707
—
TX
05
—
042516708
—
TX
05
—
042516709
—
TX
05
—
042516710
—
TX
05
—
042516711
—
TX
05
—
042516712
—
TX
05
—
042516713
—
TX
05
—
042516714
—
TX
05
—
042516715
—
TX
01
—
45-2578435-001
TICARE
TX
01
—
45-2578435-002
TRICARE
TX
01
—
452578435001
TRICARE
TX
01
—
857919
MEDICARE
TX
01
—
8971NK
BCBS
TX
01
—
8LV009
BCBS
TX
01
—
8N4773
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/28/2005
Last updated
10/05/2022
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