Individual
DR. SUSAN ELAINE WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2855 GRAMERCY ST, HOUSTON, TX 77025
(713) 668-6828
Mailing address
2855 GRAMERCY ST # 400, HOUSTON, TX 77025-1697
(713) 668-6828
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M2501
TX
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
M2501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179164202
—
TX
Enumeration date
06/17/2006
Last updated
03/22/2021
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