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Carlton D Pittard, MD
General Practice Physician in Grapevine, Texas
NPI 1609892769

Carlton D Pittard is a General Practice Physician based in Grapevine, TX. Carlton D Pittard practices in Grapevine, TX and has the professional credentials of MD. The NPI Number for Carlton D Pittard is 1609892769 and holds a License No. C6476 (Texas).

The current practice location address for Carlton D Pittard is 1280 S Main St Ste 106, Grapevine, TX and can be reached out via phone at 817-310-0014 and via fax at 817-416-4659.

Location: 1280 S Main St Ste 106, Grapevine, TX, 76051-7509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609892769
Provider Name
Carlton D Pittard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1280 S Main St Ste 106, Grapevine, TX, 76051-7509
Phone Number
817-310-0014
Fax Number
817-416-4659
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102579305 05 TX
102579304 05 TX
institution
Provider Business Practice Location Address Details
Address
1280 S Main St Ste 106
City
Grapevine
State
Texas
Zip
76051-7509
Phone Number
817-310-0014
Fax Number
817-416-4659
person
Provider Business Mailing Address Details
Address
1280 S Main St Ste 106
City
Grapevine
State
Texas
Zip
76051-7509
Phone Number
817-310-0014
Fax Number
817-416-4659
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C6476 (Texas)
Definition
Definition to come...
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