Dr Robert M Dewitt, MD | |
2200 Bergquist Dr, Lackland Afb, TX 78236-9907 | |
(210) 292-5282 | |
Not Available |
Full Name | Dr Robert M Dewitt |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2200 Bergquist Dr, Lackland Afb, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861603284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101243215 (Virginia) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | P4642 (Texas) | Primary |
Entity Name | Titus County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
Mailing Address | Practice Location Address |
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Dr Robert M Dewitt, MD 9414 Mariposa Pass, San Antonio, TX 78251-4984 Ph: (804) 677-4259 | Dr Robert M Dewitt, MD 2200 Bergquist Dr, Lackland Afb, TX 78236-9907 Ph: (210) 292-5282 |
David James Oettel, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. John Lawton Wright Iii, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Dept Of, Lackland Afb, TX 78236 Phone: 210-381-8290 | |
Samuel Leathen Madson, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236 Phone: 210-916-3808 |