Jerithea Doronice Tidwell in Dallas - Pediatrics
Jerithea Doronice Tidwell - NPI 1134387558
Jerithea Doronice Tidwell is a Pediatrics in Dallas, Texas. Jerithea Doronice Tidwell practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jerithea Doronice Tidwell is 1134387558. The last update date is 2021-09-03.
Jerithea Doronice Tidwell's current location address is 1935 Medical District Dr, Dallas, Texas. You can contact this provider via phone number 2144562331 and fax number 2144562897. The mailing address for Jerithea Doronice Tidwell is 1935 Medical District Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerithea Doronice Tidwell |
|---|---|
| Address | 1935 Medical District Dr, Dallas, Texas |
| Phone Number | 2144562331 |
| Fax Number | 2144562897 |
| Sole Proprietor | N |
| Credentials | RN PHD, P |
NPI Number Detail
| NPI Number | 1134387558 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2021-09-03 |
Provider Mailing Address Detail
| Address | 1935 Medical District Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752357701 |
| Phone Number | 2144562331 |
| Fax Number | 2144562897 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | APN000001192 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the unique 10-digit identification code issued to Jerithea Doronice Tidwell by the Centers for Medicare & Medicaid Services?
The Jerithea Doronice Tidwell has been assigned the NPI (National Provider Identifier) 1134387558 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jerithea Doronice Tidwell's facilities are situated?
The facilities of Jerithea Doronice Tidwell are physically located at the following address: 1935 Medical District Dr, Dallas, TX, 752357701.
What is Jerithea Doronice Tidwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerithea Doronice Tidwell is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
When did Jerithea Doronice Tidwell receive its 1134387558 assignment?
The Jerithea Doronice Tidwell was assigned its 1134387558 on 2008-06-02, which is the date when this unique identifier was issued to the organization.
When was the Jerithea Doronice Tidwell's information last updated?
The Jerithea Doronice Tidwell's information was last updated on 2021-09-03.
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