| Kristen Tidwell, MS, RD, LD, CNSC | |
|
15 Veneto Ln, Missouri City, TX 77459-1166 | |
| (281) 995-1323 | |
| Not Available |
| Full Name | Kristen Tidwell |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 19 Years |
| Location | 15 Veneto Ln, Missouri City, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053884742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT80388 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Gulf Coast Pllc | 4688999022 | 526 |
| Provider Name | Privia Medical Group Gulf Coast Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Tidwell, MS, RD, LD, CNSC 15 Veneto Ln, Missouri City, TX 77459-1166 Ph: (281) 995-1323 | Kristen Tidwell, MS, RD, LD, CNSC 15 Veneto Ln, Missouri City, TX 77459-1166 Ph: (281) 995-1323 |
Paulina Lee, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4923 Cypress Spring Dr, Missouri City, TX 77459 Phone: 832-964-5628 | |
Amanda Bullock, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 810 Buckeye Pl, Missouri City, TX 77459 Phone: 713-483-4119 | |
Andrea Moreno Parvis, MS ,RD, CSPCC, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8811 Wenona Walk, Missouri City, TX 77459 Phone: 832-723-4897 | |
Tsz Man Wong, RD, CSR, LD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9340 Highway 6 Ste 400, Missouri City, TX 77459 Phone: 281-778-3500 Fax: 281-778-3512 | |
Meagan Elizabeth Horne, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4306 Isaac Bay Dr, Missouri City, TX 77459 Phone: 713-870-7201 | |
Courtney Ryan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3707 Caleb Ln, Missouri City, TX 77459 Phone: 254-709-4011 |