Provider Demographics
NPI:1710597513
Name:BIDDLE, RAZEL EILEEN (NP)
Entity Type:Individual
Prefix:
First Name:RAZEL
Middle Name:EILEEN
Last Name:BIDDLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RAZEL EILEEN
Other - Middle Name:GAMBOA
Other - Last Name:BIDDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 S US HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-1553
Mailing Address - Country:US
Mailing Address - Phone:903-463-0003
Mailing Address - Fax:903-463-0011
Practice Address - Street 1:101 S US HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-1553
Practice Address - Country:US
Practice Address - Phone:903-463-0003
Practice Address - Fax:903-463-0011
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144418363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner