Individual
DR. MICHAEL RAY PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
413 W BETHEL RD, SUITE 202, COPPELL, TX 75019-4473
(214) 493-8785
Mailing address
9400 N MACARTHUR BLVD, SUITE 124-606, IRVING, TX 75063-4705
(214) 631-3663
(469) 384-3917
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
G8945
TX
2084P0800X
Psychiatry Physician
Primary
G8945
TX
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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