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Individual

DR. MITCHELL JUIN PROU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP1-0028923
TX
207L00000X
Anesthesiology Physician
Primary
N4682
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4660553649
MYUTMB 4660553649
Enumeration date
08/05/2007
Last updated
01/29/2015
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