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Individual

DR. JOSEF WIDERHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J2843
TX
207RC0000X
Cardiovascular Disease Physician
Primary
J2843
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
J2843
TX
207RI0011X
Interventional Cardiology Physician
J2843
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2171076
ATNA HMO
TX
01
2500101
UNITED HEALTHCARE
TX
01
2837065-007
CIGNA PPO
TX
01
2837065-012
CIGNA HMO
TX
01
4236959
AETNA PPO
TX
01
60055861
RAILROAD MEDICARE
TX
01
80420Y
BLUE CROSS BLUE SHIELD
TX
01
85K247
BLUE CROSS (HARRIS HOSP)
TX
01
E51105
TRICARE (HARRIS HOSP)
TX
Enumeration date
08/08/2007
Last updated
04/02/2008
Update your record

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