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Organization
KIMBERLY R. PITTS D O P A
Active
Organization
KIMBERLY R. PITTS D O P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY RUTH PITTS D.O. (PHYSICIAN)
(409) 722-4400
Entity
Organization
Contact information
Practice address
2246 NALL ST, PORT NECHES, TX 77651-4208
(409) 722-4400
(409) 722-4409
Mailing address
2246 NALL ST, PORT NECHES, TX 77651-4208
(409) 722-4400
(409) 722-4409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L7850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027KW
BCBS
TX
05
—
1778375-01
—
TX
Enumeration date
04/03/2007
Last updated
07/07/2008
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