Individual
DR. PAUL W PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4129
(903) 606-1201
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H3412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130556707
—
TX
05
—
130556708
—
TX
05
—
130556709
—
TX
01
—
1N6099
MEDICARE
TX
Enumeration date
02/17/2006
Last updated
04/20/2021
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