Dr. Gregory Paul Wittpenn
Plastic and Reconstructive Surgery
3616 N University Dr
Nacogdoches
, Texas 75965-2539
Dr. Gregory Paul Wittpenn
Plastic and Reconstructive Surgery
3616 N University Dr
Nacogdoches
, Texas 75965-2539
(936) 564-0642
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Gregory Paul Wittpenn
- 3616 N University Dr
- Nacogdoches, TX
- Zip : 75965-2539
- Fax : (936) 564-0642
- Phone : (936) 564-3744
Second Address
- Dr. Gregory Paul Wittpenn
- 3616 N University Dr
- Nacogdoches, TX
- Zip : 75965-2539
- Fax : (936) 564-0642
- Phone : (936) 564-3744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | H8896 | TX |
National Provider Identifier
| NPI | 1326007303 |
|---|---|
| Provider Name | Dr. Gregory Paul Wittpenn |
| First Address | Nacogdoches, TX 75965-2539 |
| Second Address | Nacogdoches, TX 75965-2539 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2006 |
| Last Update Date | 30/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0070LY | BLUE CROSS PROVIDER # (01) | TX |
| 173185301 | (05) | TX |
| 3324976 | REDILINK BLUE # (01) | TX |
| 4470780 | AETNA PIN (01) | TX |
| F24976 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.