Individual
DR. BRANT STEVEN MITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4330 MEDICAL DR, SUITE 400, SAN ANTONIO, TX 78229-3342
(210) 615-0600
(210) 615-1899
Mailing address
4330 MEDICAL DR, SUITE 400, SAN ANTONIO, TX 78229-3342
(210) 615-0600
(210) 615-1899
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E1065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1065
TX LICENSE
TX
Enumeration date
02/08/2007
Last updated
07/08/2007
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