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Individual

DR. LAWRENCE EDWARD WIDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H3773
TX
207RC0000X
Cardiovascular Disease Physician
Primary
H3773
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
H3773
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125830304
TX
01
8H8120
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/09/2007
Last updated
02/09/2016
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