Healthcare Provider Details

I. General information

NPI: 1982657482
Provider Name (Legal Business Name): GILDA M.S. BIDET P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 02/06/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6511 US HIGHWAY 181 N
FLORESVILLE TX
78114-6281
US

IV. Provider business mailing address

6511 US HIGHWAY 181 N
FLORESVILLE TX
78114-6281
US

V. Phone/Fax

Practice location:
  • Phone: 830-393-1400
  • Fax: 830-393-1870
Mailing address:
  • Phone: 830-393-1400
  • Fax: 830-393-1870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA18105
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5686
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number17058
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: