Individual
DUANE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5311 BALCONES DR, AUSTIN, TX 78731-4909
(512) 302-2504
(512) 453-6397
Mailing address
3663 BRIARPARK DR, HOUSTON, TX 77042-5205
(713) 268-3630
(623) 869-1717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29666
TX
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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