Organization
CARL V. MITTEN, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL VERNON MITTEN DO (PHYSICIAN/OWNER)
(713) 453-8531
Entity
Organization
Contact information
Practice address
310 FREEPORT ST, SUITE B, HOUSTON, TX 77015-2311
(713) 453-8531
(713) 453-1816
Mailing address
310 FREEPORT ST, SUITE B, HOUSTON, TX 77015-2311
(713) 453-8531
(713) 453-1816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C9230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111737601
—
TX
01
—
8F23787
PTAN
TX
Enumeration date
02/16/2010
Last updated
05/03/2010
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