Dalton Tidwell, MD | |
1906 W Us Highway 82, Sherman, TX 75092-6893 | |
(903) 892-8398 | |
Not Available |
Full Name | Dalton Tidwell |
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Gender | Male |
Speciality | Family Medicine |
Location | 1906 W Us Highway 82, Sherman, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174261192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | V6106 (Texas) | Primary |
Entity Name | Self Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Entity Name | Self Regional Healthcare Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922582105 PECOS PAC ID: 1557606118 Enrollment ID: O20190129003656 |
Mailing Address | Practice Location Address |
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Dalton Tidwell, MD 155 Academy Ave, Greenwood, SC 29646-3869 Ph: () - | Dalton Tidwell, MD 1906 W Us Highway 82, Sherman, TX 75092-6893 Ph: (903) 892-8398 |
Abedalkarim Rassas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 809 Gallagher Dr Ste D, Sherman, TX 75090 Phone: 903-771-2846 | |
Oluyemi Aina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 N Travis St, Sherman, TX 75092 Phone: 903-328-6556 Fax: 903-868-0282 | |
Dr. James T Russell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1906 W Us Highway 82, Sherman, TX 75092 Phone: 903-892-8398 Fax: 903-892-6665 | |
Andrea Hughes, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Calais Dr Ste A, Sherman, TX 75090 Phone: 903-957-9010 Fax: 903-957-0585 | |
Li Wan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 809 Gallagher Dr Ste D, Sherman, TX 75090 Phone: 903-771-2846 | |
Dr. Helen Schulze, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1906 W Us Highway 82, Sherman, TX 75092 Phone: 903-892-8398 Fax: 903-892-6665 |