Individual
MRS. AUTUMN N. LYDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
504 MEDICAL CENTER BLVD STE 300, CONROE, TX 77304-2808
(409) 749-4193
Mailing address
3619 CLEAR FALLS DR, KINGWOOD, TX 77339-1962
(409) 749-4193
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP138586
TX
Other
Enumeration date
08/27/2018
Last updated
04/09/2025
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