Individual
BLAKE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 GARRETT DR, PERRYTON, TX 79070-5322
(806) 648-9355
(806) 228-7071
Mailing address
3101 GARRETT DR, PERRYTON, TX 79070-5323
(806) 435-3606
(806) 435-2067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4685
TX
Other
Enumeration date
05/29/2014
Last updated
07/08/2020
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