Wiedower, Ronald C.

Wiedower, Ronald C. is an individual health care provider with primary practice located at 1717 Rotary Dr , Humble TX 77338-5235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wiedower, Ronald C. can be contacted via phone (281) 272-6277.

Contact Information

Primary practice address
1717 Rotary Dr Humble TX 77338-5235
Fax: (281) 272-6281
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G4746 Texas

Profile Details

NPI number 1548226970
LBN Legal business name Wiedower, Ronald C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548226970 NPPES
Texas MEDICAID 135895403

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