Healthcare Provider Details

I. General information

NPI: 1528257755
Provider Name (Legal Business Name): CHRIS WILLIAM WITT PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 W PARKER RD STE 322
PLANO TX
75093-8103
US

IV. Provider business mailing address

3319 COLORADO BLVD
DENTON TX
76210-6817
US

V. Phone/Fax

Practice location:
  • Phone: 972-981-7870
  • Fax: 972-981-7886
Mailing address:
  • Phone: 940-383-1279
  • Fax: 940-387-0489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA04933
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA04933
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: