Individual
DR. DAVID W RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6705 HERITAGE PKWY STE 104, ROCKWALL, TX 75087-8729
(972) 412-7700
(972) 412-7710
Mailing address
PO BOX 127, ROCKWALL, TX 75087-0127
(972) 412-7700
(972) 412-7710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J4481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020041051
MEDICARE RR
TX
05
—
0309551-01
—
TX
01
—
1822273
UNITED HEALTHCARE
TX
01
—
2159803
AETNA HMO
TX
01
—
5768505
AETNA
TX
01
—
5880610001
CIGNA
TX
01
—
752757262
TAX ID
TX
01
—
78161
AMERIGROUP
TX
01
—
8G0301
BC/BS
TX
Enumeration date
08/19/2005
Last updated
08/12/2021
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