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Individual

DAVID R RITTENHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2900 ACME BRICK PLZ, FORT WORTH, TX 76109-4123
(817) 871-9069
(817) 871-9067
Mailing address
5013 BENTWOOD CT, FORT WORTH, TX 76132-1171

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
2769
OK
208800000X
Urology Physician
Primary
K3430
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043155303
TX
05
043155304
TX
05
043155305
TX
05
043155306
TX
Enumeration date
04/07/2006
Last updated
04/02/2024
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