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Dr. Lee Roy Wiederhold III, MD,PHD
Radiation Oncology Physician in Galveston, Texas
NPI 1134323736

Lee Roy Wiederhold III is a Radiation Oncology Physician based in Galveston, TX and is specialized in Radiation Oncology. Lee Roy Wiederhold III practices in Galveston, TX and has the professional credentials of MD,PHD. The NPI Number for Lee Roy Wiederhold III is 1134323736 and holds a License No. M5976 (Texas).

The current practice location address for Lee Roy Wiederhold III is 301 University Blvd, Galveston, TX and can be reached out via phone at 409-772-2531 and via fax at 409-772-1814.

Location: 301 University Blvd, Galveston, TX, 77555-5302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134323736
Provider Name
Lee Roy Wiederhold III
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
301 University Blvd, Galveston, TX, 77555-5302
Phone Number
409-772-2531
Fax Number
409-772-1814
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
213444702 05 TX
3847415682 01 MYUTMB 3847415682-COMMERCIAL NUMBER
213444703 01 TX MEDICAID CSHCN
institution
Provider Business Practice Location Address Details
Address
301 University Blvd
City
Galveston
State
Texas
Zip
77555-0462
Phone Number
409-772-2531
Fax Number
409-772-1814
person
Provider Business Mailing Address Details
Address
301 University Blvd
City
Galveston
State
Texas
Zip
77555-0462
Phone Number
409-772-2531
Fax Number
409-772-1814
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
M5976 (Texas)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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