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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