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1801075619
OWEN C. DEWITT, MD
FORT WORTH, TX
NPI
1801075619
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Entity Type
Organization
Authorized Contact
OWEN C. DEWITT
Owner/Provider
817-336-1071
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX G3287)
Enumeration Date
2007-10-29
Last Update Date
2008-02-22
Business Address
OWEN C. DEWITT, MD
1307 8TH AVE STE 603
FORT WORTH, TX 76104-4142
Phone number: 817-336-1071
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Mailing Address
OWEN C. DEWITT, MD
PO BOX 11128
FORT WORTH, TX 76110-0128
Phone number: 817-336-1071
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