Individual
ANDRU ALAN WIDENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1182 GIBBONS RD S, BARTONVILLE, TX 76226-6337
(916) 251-6351
Mailing address
1182 GIBBONS RD S, BARTONVILLE, TX 76226-6337
(916) 251-6351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17335
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
03/10/2026
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