Witt, David R

Witt, David R is an individual health care provider with primary practice located at 805 Medical Dr , Longview TX 75605-5130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Witt, David R can be contacted via phone (903) 232-8100.

Contact Information

Primary practice address
805 Medical Dr Longview TX 75605-5130
Fax: (903) 232-8115
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K5747 Texas

Profile Details

NPI number 1538136528
LBN Legal business name Witt, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Sep 17th, 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 1538136528 NPPES
Texas MEDICAID 131168008

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