Individual
ADITI MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-6712
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301108346
MI
207P00000X
Emergency Medicine Physician
Primary
T3141
TX
Other
Enumeration date
06/25/2015
Last updated
10/13/2021
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