Individual provider · Type 1 NPI

Elizabeth Suzanne Widmer, P.A.-C

Medical Physician Assistant · Fort Worth, TX

NPI number 1336562883 Active

Practice location

12469 Timberland Blvd Ste 501
Fort Worth, TX 76244-5216

Call (817) 431-6555 Map

Fax (817) 431-7979

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA08702 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1336562883

Elizabeth Suzanne Widmer, P.A.-C's National Provider Identifier is 1336562883, issued on Feb 3, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 3, 2014.