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Individual
WESLEY E PITTMAN
Active
Individual
WESLEY E PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3380TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093150303
—
TX
01
—
P00325271
RAILROAD MEDICARE
TX
Enumeration date
08/01/2006
Last updated
01/02/2024
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