MR. David Wayne Dewitt, PA-C

NPI #1215094594 in Lago Vista, Texas

Provider Information

NPI Number: 1215094594
Entity Type: Individual
Name: MR. David Wayne Dewitt, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 3, 2007
Last Updated: Nov 29, 2022

Practice Location

Address: 8808 BRONCO LANE
Address 2: SUITE 1
City: Lago Vista
State: Texas
ZIP Code: 78645
Phone: (512) 267-1877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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