P Praxis·MD
● Active Type 1 · Individual

DR. Lee Roy Wiederhold III, MD, PHD

Radiology·Galveston, TX· NPI 1134323736 · Enumerated 2007 · 18 years on NPI
Wiederhold is 1 of 6 radiology providers in Galveston and 1 of 568 in Texas.
NPI age
18 years
Enumerated 2007-06-14
Primary specialty
Radiology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 568 active radiology providers in Texas.

NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
301 University Blvd
Galveston, TX 775550462
📞 4097722531fax 4097721814
Mailing address
301 University Blvd
Galveston, TX 775555302
📞 4097722222

Specialties

  • Radiology Primary
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    TX license #M5976 taxonomy 2085R0001X

Identifiers

TypeValueNotes
05 (TX) 213444702
01 3847415682 MYUTMB 3847415682-COMMERCIAL NUMBER
01 (TX) 213444703 MEDICAID CSHCN

Practice context

Part of a multi-provider practice. 1575 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new radiology provider has been added in Galveston in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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