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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619948213 | NPPES |
| Texas | MEDICAID | 166418705 | |
| Texas | MEDICAID | 166418707 | |
| Texas | Other | 0023RR |
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