Organization
ODESSA REPRODUCTIVE MEDICINE CENTER
Active
Organization
ODESSA REPRODUCTIVE MEDICINE CENTER
Active
Other names
Mitwally Fertility Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED MITWALLY MD, HCLD, FACOG (MEDICAL DIRECTOR)
(248) 701-4157
Entity
Organization
Contact information
Practice address
420 E 6TH ST STE 203, ODESSA, TX 79761-4572
(432) 580-4500
(432) 218-8804
Mailing address
122 CANDELARIA, HELOTES, TX 78023-4711
(248) 701-4157
(432) 218-8804
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
P0765
TX
Other
Enumeration date
03/16/2012
Last updated
05/20/2014
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