| Dewitz Family Medicine, Pllc | |
|
150 Pine Forest Dr Suite 403 Shenandoah TX 77384-5302 | |
| (936) 271-0426 | |
| Not Available |
| Full Name | Dewitz Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 150 Pine Forest Dr, Shenandoah, Texas |
| Authorized Official Name and Position | Scott Dewitz (OWNER) |
| Authorized Official Contact | 9362710426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitz Family Medicine, Pllc Po Box 4248 Dept 742 Houston TX 77210-4248 Ph: (936) 271-0426 | Dewitz Family Medicine, Pllc 150 Pine Forest Dr Suite 403 Shenandoah TX 77384-5302 Ph: (936) 271-0426 |
| NPI Number | 1114472198 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114472198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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