Organization
B J PITTMAN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADDI PITTMAN (OFFICE MGR.)
(830) 626-0943
Entity
Organization
Contact information
Practice address
62 N CAMERON ST, ALICE, TX 78332-4953
(361) 664-3571
(361) 664-3502
Mailing address
1713 INDIAN MOON CV, NEW BRAUNFELS, TX 78132-3396
(830) 626-0943
(830) 626-0943
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2241TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121630103
—
TX
Enumeration date
04/13/2010
Last updated
12/15/2018
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