Local City Search for Surgeons and Surgical Clinics GREGORY P. WITTPENN, MD PA
Surgery Yellow Pages
Nacogdoches, Texas
Provider NPI: 1366627499
Organization Information:Organization Name: GREGORY P. WITTPENN, MD PA
Practice Location:
3616 N UNIVERSITY DR NACOGDOCHES, TX 75965 US
Tel: 936-564-3744 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3616 N UNIVERSITY DR NACOGDOCHES, TX 75965 US
Tel: 936-564-3744 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2082S0105X | Physicians Plastic Surgery Surgery of the Hand | ||
| Y | 2086S0122X | Physicians Surgery |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 007OLY | TX | 01 |
| 173182001 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
