Individual
DR. JAMES ALLAN MITLYNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-8600
(214) 645-8601
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8600
(214) 645-8601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H2613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110097178
RR MEDICARE
TX
05
—
127739403
—
TX
Enumeration date
08/20/2006
Last updated
02/12/2013
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