Individual
DR. JOHN W FITZWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 SW H K DODGEN LOOP BLDG 300, TEMPLE, TX 76502-1814
(813) 554-8384
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
P1753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100963500
—
FL
Enumeration date
06/15/2009
Last updated
01/16/2023
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