Portland Mithen, PA-C

NPI #1972641850 in Plano, Texas

Provider Information

NPI Number: 1972641850
Entity Type: Individual
Name: Portland Mithen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 2, 2007
Last Updated: Oct 13, 2014

Practice Location

Address: 3901 W 15TH ST
City: Plano
State: Texas
ZIP Code: 75075-7738
Phone: (972) 519-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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