P Praxis·MD
● Active Type 1 · Individual

Jackson Coleman Tidwell

Specialist/Technologist·Lubbock, TX· NPI 1407708654 · Enumerated 2026 · 0 years on NPI
Tidwell is 1 of 103 specialist/technologist providers in Lubbock and 1 of 2956 in Texas.
NPI age
— years
Enumerated 2026-02-11
Primary specialty
Specialist/Technologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2956 active specialist/technologist providers in Texas.

NPI age
0 years
↓ 8 yr below median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-02Enumerated in NPPES
2026 2026

Where they practice

Practice location
7402 93rd St
Lubbock, TX 794244940
📞 8068534098
Mailing address
7402 93rd St
Lubbock, TX 794244940
📞 8068534098

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    taxonomy 2255A2300X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new specialist/technologist provider has been added in Lubbock in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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