Justin Tidwell in Lubbock - Emergency Medicine

Justin Tidwell - NPI 1639199862

Justin Tidwell is a Emergency Medicine in Lubbock, Texas. Justin Tidwell practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Justin Tidwell is 1639199862. The last update date is 2007-07-08.

Justin Tidwell's current location address is 3804 53rd St, Lubbock, Texas. You can contact this provider via phone number 8067950914. The mailing address for Justin Tidwell is 3804 53rd St, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin Tidwell
Address 3804 53rd St, Lubbock, Texas
Phone Number 8067950914
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1639199862
Provider Enumeration Date 2006-07-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3804 53rd St
City Lubbock
State Texas (TX)
Post Code 794133824
Phone Number 8067950914
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No L5926
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

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FAQs about Justin Tidwell

What is the unique identifier code issued to Justin Tidwell by the Centers for Medicare & Medicaid Services?

The Justin Tidwell has been assigned the NPI (National Provider Identifier) 1639199862. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Justin Tidwell is geographically located?

The Justin Tidwell is physically situated at the following location: 3804 53Rd St, Lubbock, TX, 794133824.

What is the Justin Tidwell's area of specialization and corresponding taxonomy classification?

The Justin Tidwell's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.

On what date did Justin Tidwell receive its 1639199862 assignment from the Centers for Medicare & Medicaid Services?

The Justin Tidwell was assigned its 1639199862 on 2006-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Justin Tidwell last refreshed?

The information related to the Justin Tidwell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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