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NPI Code Detail

MEDICARE: MS. CAROL A WITT CAROL WITT

MEDICARE: MS. CAROL A WITT CAROL WITT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist42689TX
2183500000XPharmacist112883MN

General Provider Information

NPI Number : 1972831949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL A WITT CAROL WITT
Provider Business Mailing Address
First Line : 560 RAYFORD RD
Second Line :
City : SPRING
State : TX
Zip : 77386-1920
Country : US
Telephone Number : 281-298-0040
Fax Number : 281-298-0045
Provider Business Practice Location Address
First Line : 560 RAYFORD RD
Second Line :
City : SPRING
State : TX
Zip : 77386-1920
Country : US
Telephone Number : 281-298-0040
Fax Number : 281-298-0045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2009
Last Update Date : 12/02/2009

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Directions to “ MS. CAROL A WITT CAROL WITT” Practice Location

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