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Organization
SAMUEL R MITZ MD PA
Active
Organization
SAMUEL R MITZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL R MITZ MD (OWNER)
(214) 535-7079
Entity
Organization
Contact information
Practice address
803 W LAMPASAS ST, ENNIS, TX 75119-4535
(972) 875-0546
Mailing address
9603 WHITE ROCK TRL STE 200, DALLAS, TX 75238-5039
(214) 506-2615
(214) 506-1170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5468
TX
Other
Enumeration date
08/29/2013
Last updated
09/05/2013
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