DR. LAWRENCE EDWARD WIDMAN M.D. NPI 1477602241

NPI Information

NPI: 1477602241
Provider Name: DR. LAWRENCE EDWARD WIDMAN, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
7950 FLOYD CURL DR
SUITE 803
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 615-9500
Get Directions

DR. Lawrence Edward Widman, M.D. is a cardiovascular disease internal medicine in San Antonio, TX with 43 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Lawrence Edward Widman, M.D. NPI is 1477602241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

7950 FLOYD CURL DR
SUITE 803
SAN ANTONIO, TX
ZIP 78229-919
Phone: (210) 615-9500
Fax: (210) 615-9600

The NPI 1477602241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 2/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		H3773	TEXAS	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	H3773	TEXAS	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	H3773	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8H8120	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	B27562	MEDICARE UPIN	TEXAS
3	125830304	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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