# MYWAY MEDICAL

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

## Provider details

- **NPI number:** 1982147690
- **Authorized official:** DR. BHARAT MITTAL D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (512) 956-9929

## Contact information

- **Practice address:** 20711 LAVONE DR, PORTER, TX 77365-7603
- **Practice address phone:** (512) 956-9929
- **Mailing address:** 20711 LAVONE DR, PORTER, TX 77365-7603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | P7313 | TX | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 11/29/2016