NPI age
12 years
Enumerated 2014-05-06
● Active
Type 1 · Individual
MISS Heather Lynn Widell, PA-C
Widell is 1 of 2 physician assistant providers in Lackland Afb and 1 of 2220 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2220 active physician assistant providers in Texas.
NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-05Enumerated in NPPES
2014
2026
Where they practice
Practice location
1100 Wilford Hall Loop
Lackland Afb, TX 782365638
Mailing address
1100 Wilford Hall Loop
Lackland Afb, TX 782365638
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
655 7th St Bldg 700
Robins Afb, GA 310982227
Location 3
23d Medical Group 3278 Mitchell Blvd
Moody Afb, GA 316991302
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Military Health Care ProviderActive duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Practice context
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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