Individual
DR. DONDI D RIDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 HWY 83 N, CHILDRESS, TX 79201
(940) 937-3636
(940) 937-9644
Mailing address
1001 US HIGHWAY 83 N, CHILDRESS, TX 79201-2322
(940) 937-3636
(940) 937-9644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L3210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150346804
—
TX
01
—
8B4351
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/25/2006
Last updated
12/23/2009
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