Individual provider · Type 1 NPI

Shelby Tidwell

Student in an Organized Health Care Education/Training Program · Allen, TX

NPI number 1649199936 Active

Practice location

706 Bush Dr
Allen, TX 75013-1544

Call (214) 842-2515 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649199936

Shelby Tidwell's National Provider Identifier is 1649199936, issued on Jul 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Allen, TX. The record was last updated on Aug 25, 2026.