Mintz, Michael Lewis

Mintz, Michael Lewis is an individual health care provider with primary practice located at 5959 S Staples St Ste 102 , Corpus Christi TX 78413-3844. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Mintz, Michael Lewis can be contacted via phone (361) 854-7000.

Contact Information

Primary practice address
5959 S Staples St Ste 102 Corpus Christi TX 78413-3844
Phone: (361) 854-7000
Fax: (361) 814-2685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E5858 Texas
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X E5858 Texas

Profile Details

NPI number 1023013612
LBN Legal business name Mintz, Michael Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023013612 NPPES
Texas MEDICAID 122554204

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