Eric Tidline
Social Worker, Clinical in Houston, TX. Individual provider (NPI-1).
NPI number1083261663
StatusActive
Last updated in NPPESAug 20, 2019
Details
- NPI
- 1083261663
- Entity type
- Individual (NPI-1)
- Name
- Eric Tidline
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2019
- Last updated
- Aug 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 26747 | TX | Yes |
Practice location
3007 Caroline StHouston, TX 77004-2822
Phone 713-528-2328
Mailing address
5631 Drakestone BlvdHouston, TX 77053-2010
Phone 713-434-1353
Other practice locations
5631 Drakestone Blvd
Houston, TX 77053-2010
Houston, TX 77053-2010
Phone 713-434-1353
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