Portland Mithen in Dallas - Physician Assistant
Portland Mithen - NPI 1972641850
Portland Mithen is a Physician Assistant in Dallas, Texas. Portland Mithen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Portland Mithen is 1972641850. The last update date is 2014-10-13.
Portland Mithen's current location address is Po Box 201606, Dallas, Texas. You can contact this provider via phone number 9727583598 and fax number 9725999604. The mailing address for Portland Mithen is Po Box 201606, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Portland Mithen |
|---|---|
| Address | Po Box 201606, Dallas, Texas |
| Phone Number | 9727583598 |
| Fax Number | 9725999604 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1972641850 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2014-10-13 |
Provider Mailing Address Detail
| Address | Po Box 201606 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 753201606 |
| Phone Number | 9727583598 |
| Fax Number | 9725999604 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA02804 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 284508302 | TX | -- | |
| 284508303 | TX | -- | |
| 284508301 | TX | -- |
Post Comment/ Review Below
What is the Portland Mithen's 1972641850?
The Portland Mithen's NPI (National Provider Identifier) Number is 1972641850. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Portland Mithen?
The Portland Mithen is situated at Po Box 201606, in the city of Dallas, state of TX, with the zip code 753201606.
What is Portland Mithen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Portland Mithen is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When did the Portland Mithen receive its 1972641850?
The Portland Mithen was issued its 1972641850 on 2007-02-02, which is the date when the organization was assigned this unique identifier.
When was the Portland Mithen's information last updated?
The Portland Mithen's information was last updated on 2014-10-13.
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