Andru Alan Widener

Physician Assistant · Bartonville, TX

Individual Active NPI

NPI number 1972211787

Practice location

1182 Gibbons Rd S
Bartonville, TX 76226-6337
Phone
(916) 251-6351

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NPI record

NPI
1972211787
Entity type
Individual (Type 1)
Enumeration date
November 10, 2022
Last updated
March 10, 2026
Certified
March 10, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA17335 TX

About Andru Widener

Andru Alan Widener is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1182 Gibbons Rd S, Bartonville, TX 76226-6337. The NPI number 1972211787 was assigned on November 10, 2022 and the record was last updated on March 10, 2026.

Andru Widener lists a license in the registry: #PA17335 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andru Alan Widener?

The NPI number is 1972211787.

What is the phone number of Andru Widener?

The phone number listed for the practice location is (916) 251-6351.

Where is Andru Widener located?

1182 Gibbons Rd S, Bartonville, TX 76226-6337.

What is the taxonomy code for Andru Widener?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.