Mitz, Samuel R

Mitz, Samuel R is an sole proprietor health care provider with primary practice located at 1664 Sylvan Ave , Dallas TX 75208-2543. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mitz, Samuel R can be contacted via phone (214) 535-7079.

Contact Information

Primary practice address
1664 Sylvan Ave Dallas TX 75208-2543
Phone: (214) 535-7079
Fax: (214) 484-4111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L5468 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64904 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 14459 North Dakota

Profile Details

NPI number 1619948213
LBN Legal business name Mitz, Samuel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Dec 28th, 2023 - about 2 years ago

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 1619948213 NPPES
Texas MEDICAID 166418705
Texas MEDICAID 166418707
Texas Other 0023RR

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