The Dewitt Clinic Pa

NPI 1043202997 - Internal Medicine - 207R00000X

NPI Details
NPI 1043202997
Enumeration Date 08/17/2005
Last Updated 11/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ROBERT D ROBERT
Position PRESIDENT
Phone (281) 331-2062
Fax (281) 331-8070
Practice Location
304 MEDIC LANE
SUITE B
ALVIN TX, 77511-5543, US
Phone (281) 331-2062
Fax (281) 331-8070
Business Location
304 MEDIC LANE
SUITE B
ALVIN TX, 77511-5543, US
Phone (281) 331-2062
Fax (281) 331-8070
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number H1950
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According to our database, The Dewitt Clinic Pa NPI is 1043202997, taxonomy code is 207R00000X and license number is H1950, license state is located at Texas. The Dewitt Clinic Pa physically located at 304 Medic Lane, Alvin TX, 77511-5543. NPI Number 1033115704 has the healthcare provider type.

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1043202997 NPI number is provided on an as is basis without warranty of any kind. 1043202997 is maintained by the National Plan & Provider Enumeration System. The contents of The Dewitt Clinic Pa are for informational purposes only.