Individual
DR. DAVID R WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 MEDICAL DR, LONGVIEW, TX 75605-5130
(903) 232-8100
(903) 232-8115
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131168008
—
TX
Enumeration date
03/08/2006
Last updated
09/17/2019
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