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1083142186
TIMOTHY WITTER
FORT WORTH, TX
NPI
1083142186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
TIMOTHY WITTER MPAS, PA-C
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3431
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Mailing Address
TIMOTHY WITTER MPAS, PA-C
2817 BENBROOK BLVD
FORT WORTH, TX 76109-2340
Phone number:
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