Search › New Mexico › 390200000X
Eric Tidwell
NPI 1508506205 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5530 1 University Of New Mexico
Albuquerque, NM 87131 - Phone
- (505) 272-2269
- Fax
- (505) 272-5821
- Clinicians at this address
- 2
Additional practice sites
- 3214 E Race Ave, Searcy, AR
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 208D00000X
- Licence states on file
- NM, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico