Individual
DR. DANIELLA MARIANA MITTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1605 ROCK PRAIRIE RD, SUITE 301, COLLEGE STATION, TX 77845-8358
(979) 764-0107
(979) 764-0173
Mailing address
1605 ROCK PRAIRIE RD, SUITE 301, COLLEGE STATION, TX 77845-8358
(979) 764-0107
(979) 764-0173
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD23561
OR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
P1901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287026
—
OR
Enumeration date
08/14/2006
Last updated
02/16/2012
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