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Organization

CARDIAC ELECTROPHYSIOLOGY CONSULTANTS OF SOUTH TEXAS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE EDWARD WIDMAN MD PHD (PRESIDENT)
(210) 615-9500
Entity
Organization

Contact information

Practice address
7950 FLOYD CURL DR, SUITE 803, SAN ANTONIO, TX 78229-3919
(210) 615-9500
(210) 615-9600
Mailing address
PO BOX 782071, SAN ANTONIO, TX 78278-2071
(210) 615-9500
(210) 615-9600

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060JV
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/16/2007
Last updated
08/22/2020
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