CARLTON D PITTARD MD NPI 1609892769

NPI Information

NPI: 1609892769
Provider Name: CARLTON D PITTARD, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1280 S MAIN ST STE 106
GRAPEVINE, TX
ZIP 76051
Phone: (817) 310-0014
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Carlton D Pittard, MD is a general practice in Grapevine, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Carlton D Pittard, MD NPI is 1609892769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1280 S MAIN ST STE 106
GRAPEVINE, TX
ZIP 76051-509
Phone: (817) 310-0014
Fax: (817) 416-4659

The enumeration date for this NPI number is 7/14/2006 and was last updated on 4/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		C6476	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	102579304	MEDICAID	TEXAS
2	B25534	MEDICARE UPIN	TEXAS
3	8L8618	MEDICARE PIN	TEXAS
4	8904B6	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
5	102579305	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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