Individual
CAYLA WIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(844) 723-1310
Mailing address
8826 BRAEWICK DR, HOUSTON, TX 77074-7610
(713) 252-0270
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PA12634
TX
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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