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Owen C. Dewitt, Md
Specialist in Fort Worth, Texas
NPI 1801075619

Owen C. Dewitt, Md is a Specialist based in Fort Worth, TX. Owen C. Dewitt, Md practices in Fort Worth, TX. The NPI Number for Owen C. Dewitt, Md is 1801075619 and holds a License No. G3287 (Texas).

The current practice location address for Owen C. Dewitt, Md is 1307 8Th Ave Ste 603, Fort Worth, TX and can be reached out via phone at 817-336-1071 and via fax at 817-546-8681.

Location: 1307 8Th Ave Ste 603, Fort Worth, TX, 76110-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801075619
Provider Name
Owen C. Dewitt, Md
Credential
Provider Entity Type
Organization
Address
1307 8Th Ave Ste 603, Fort Worth, TX, 76110-0128
Phone Number
817-336-1071
Fax Number
817-546-8681
Provider Enumeration Date
10/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD3512 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1307 8Th Ave Ste 603
City
Fort Worth
State
Texas
Zip
76104-4142
Phone Number
817-336-1071
Fax Number
817-546-8681
person
Provider Business Mailing Address Details
Address
1307 8Th Ave Ste 603
City
Fort Worth
State
Texas
Zip
76104-4142
Phone Number
817-336-1071
Fax Number
817-546-8681
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G3287 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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