Individual
ANDREW WIDENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 TIDWELL RD, HOUSTON, TX 77093-6731
(281) 272-0888
Mailing address
2302 TIDWELL RD, HOUSTON, TX 77093-6731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T4871
TX
Other
Enumeration date
04/20/2020
Last updated
05/07/2024
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