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Individual
BOBBY D WITTEN
Active
Individual
BOBBY D WITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014-01181
NC
207Q00000X
Family Medicine Physician
K9704
TX
208D00000X
General Practice Physician
2014-01181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064EJ
BCBS
TX
05
—
092429201
—
TX
05
—
092429202
—
TX
Enumeration date
07/26/2005
Last updated
11/29/2023
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