Healthcare Provider Details

I. General information

NPI: 1710993621
Provider Name (Legal Business Name): CRAIG ARTHUR WITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 FONDREN RD SUITE 350
HOUSTON TX
77063-2315
US

IV. Provider business mailing address

610 LAWRENCE ST
TOMBALL TX
77375-6483
US

V. Phone/Fax

Practice location:
  • Phone: 713-490-2527
  • Fax: 713-334-5547
Mailing address:
  • Phone: 281-351-5730
  • Fax: 281-351-5739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberH7588
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: