Organization
MYWAY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARAT MITTAL D.O. (MEDICAL DIRECTOR)
(512) 956-9929
Entity
Organization
Contact information
Practice address
20711 LAVONE DR, PORTER, TX 77365-7603
(512) 956-9929
Mailing address
20711 LAVONE DR, PORTER, TX 77365-7603
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P7313
TX
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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