Owen C. Dewitt, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G3287 Issued in TX

Legal business name

OWEN C. DEWITT, MD

Practice address

1307 8TH Ave Ste 603
Fort Worth, TX 76104-4142

Phone

(817) 336-1071

Fax

(817) 546-8681

NPI assigned

Oct 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Owen C. Dewitt, MD

Title

Owner/Provider

Phone

(817) 336-1071

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1801075619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11128",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761100128",
            "telephone_number": "817-336-1071",
            "fax_number": "817-546-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE STE 603",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044142",
            "telephone_number": "817-336-1071",
            "fax_number": "817-546-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN C. DEWITT, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "817-336-1071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G3287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD3512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christie Michelle Owen, FNP-C
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• Beth Ann Owens, RN
• Brittney Owens
• Christi Lynne Owens, FNP

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.