| Carl V. Mitten, D.o., P.a. | |
|
310 Freeport St Suite B Houston TX 77015-2311 | |
| (713) 453-8531 | |
| (713) 453-1816 |
| Full Name | Carl V. Mitten, D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 310 Freeport St, Houston, Texas |
| Authorized Official Name and Position | Carl Vernon Mitten (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7134538531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl V. Mitten, D.o., P.a. 310 Freeport St Suite B Houston TX 77015-2311 Ph: (713) 453-8531 | Carl V. Mitten, D.o., P.a. 310 Freeport St Suite B Houston TX 77015-2311 Ph: (713) 453-8531 |
| NPI Number | 1023330214 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 05/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023330214 | NPI | - | NPPES |
| 111737601 | Medicaid | TX | |
| 8F23787 | Other | TX | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C9230 (Texas) | Primary |
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