# MARY V. MIRTO, D.O., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023291028
- **Authorized official:** DR. MARY V MIRTO D.O. (PHYSICIAN)
- **Authorized official phone:** (512) 476-5090

## Contact information

- **Practice address:** 900 E 30TH ST STE 211, AUSTIN, TX 78705-3323
- **Practice address phone:** (512) 476-5090
- **Practice address fax:** (512) 476-5089
- **Mailing address:** 900 E 30TH ST STE 211, AUSTIN, TX 78705-3323
- **Mailing address phone:** (512) 476-5090
- **Mailing address fax:** (512) 476-5089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | L1674 | TX | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 12/12/2007