David Wayne Dewitt, PA-C

Physician Assistant · Lago Vista, TX

Individual Active NPI

NPI number 1215094594

Practice location

8808 Bronco Lane
Suite 1
Lago Vista, TX 78645
Phone
(512) 267-1877
Fax
(512) 267-1726

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NPI record

NPI
1215094594
Entity type
Individual (Type 1)
Enumeration date
January 3, 2007
Last updated
November 29, 2022
Certified
November 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA07432 TX

Mailing address

8008 Bronco Ln Ste 1
Lago Vista, TX 78645-4151
Phone
(512) 267-1877
Fax
(512) 267-1726

About David Dewitt

David Wayne Dewitt, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 8808 Bronco Lane, Suite 1, Lago Vista, TX 78645. The NPI number 1215094594 was assigned on January 3, 2007 and the record was last updated on November 29, 2022.

David Dewitt lists a license in the registry: #PA07432 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Wayne Dewitt, PA-C?

The NPI number is 1215094594.

What is the phone number of David Dewitt?

The phone number listed for the practice location is (512) 267-1877.

Where is David Dewitt located?

8808 Bronco Lane, Suite 1, Lago Vista, TX 78645.

What is the taxonomy code for David Dewitt?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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