Individual
DR. ANDREW WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10054297
TX
207R00000X
Internal Medicine Physician
Primary
R2500
TX
Other
Enumeration date
05/13/2015
Last updated
04/27/2023
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