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Organization

PREMIER PHYSICAL MEDICINE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BHARAT MITTAL M.D. (OWNER)
(281) 485-2955
Entity
Organization

Contact information

Practice address
2018 BROADWAY ST, PEARLAND, TX 77581-5502
(281) 485-2955
(281) 485-8315
Mailing address
2018 BROADWAY ST, PEARLAND, TX 77581-5502
(281) 485-2955
(281) 485-8315

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M5211
TX
363LA2200X
Adult Health Nurse Practitioner
794738
TX

Other

Enumeration date
02/27/2013
Last updated
07/19/2022
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