Search › Texas › 363L00000X
T'Juaniequa Wideman, AGACNP-BC
NPI 1053195982 · on the registry since 2023
Practice
- Address
- 800 E Dawson St
Tyler, TX 75701 - Phone
- (903) 593-8441
- Organisation at this address
- Jerry S Putman Md
Sahil Parikh Do Pllc
Brian Pfeiffer Md Pa
Mother France Hospital
Jens Langsjoen Md PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 329
Additional practice sites
- 703 S Fleishel Ave Ste 4000, Tyler, TX
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LG0600X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas