Provider Demographics
NPI:1710993621
Name:WITZ, CRAIG ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:ARTHUR
Last Name:WITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-6483
Mailing Address - Country:US
Mailing Address - Phone:281-351-5730
Mailing Address - Fax:281-351-5739
Practice Address - Street 1:2500 FONDREN RD
Practice Address - Street 2:SUITE 350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2315
Practice Address - Country:US
Practice Address - Phone:713-490-2527
Practice Address - Fax:713-334-5547
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7588207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J0895OtherBCBSTX
TX117818801Medicaid
TX117818802OtherCIDC
TX827366Medicare PIN
TX117818802OtherCIDC
TX8J0895OtherBCBSTX