MEDICARE: CRAIG ARTHUR WITZ M.D.

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
1	207VE0102X	Reproductive Endocrinology Physician	H7588	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8J0895	OTHER	TX	BCBSTX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	117818802	OTHER	TX	CIDC

General Provider Information

NPI Number	:	1710993621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG ARTHUR WITZ M.D.

Provider Business Mailing Address
First Line	:	610 LAWRENCE ST
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-6483
Country	:	US
Telephone Number	:	281-351-5730
Fax Number	:	281-351-5739

Provider Business Practice Location Address
First Line	:	2500 FONDREN RD
Second Line	:	SUITE 350
City	:	HOUSTON
State	:	TX
Zip	:	77063-2315
Country	:	US
Telephone Number	:	713-490-2527
Fax Number	:	713-334-5547

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	08/15/2016

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