Individual
ELIZABETH SUZANNE WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
12469 TIMBERLAND BLVD STE 501, FORT WORTH, TX 76244-5216
(817) 431-6555
(817) 431-7979
Mailing address
12469 TIMBERLAND BLVD STE 501, FORT WORTH, TX 76244-5216
(817) 431-6555
(817) 431-7979
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA08702
TX
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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