Individual
RODNEY KEITH TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
608 W 6TH ST, POST, TX 79356-3629
(806) 495-1813
(806) 495-1195
Mailing address
804 W 14TH ST, POST, TX 79356-2104
(806) 620-0960
(806) 495-1195
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
139307
TX
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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