Individual
EILEEN M WIDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3945 IH 69 ACCESS RD, CORPUS CHRISTI, TX 78410-4531
(361) 767-8332
(361) 767-1465
Mailing address
3945 IH 69 ACCESS RD, CORPUS CHRISTI, TX 78410-4531
(361) 767-8332
(361) 767-1465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01554
TX
363AM0700X
Medical Physician Assistant
PA01554
TX
Other
Enumeration date
09/14/2007
Last updated
03/27/2024
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