Myway Medical
General Practice in Porter, TX. Organization (NPI-2).
NPI number1982147690
StatusActive
Last updated in NPPESNov 29, 2016
Details
- NPI
- 1982147690
- Entity type
- Organization (NPI-2)
- Legal business name
- Myway Medical
- Organization subpart
- No
- Enumeration date
- Nov 29, 2016
- Last updated
- Nov 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | P7313 | TX | Yes |
Practice location
20711 Lavone DrPorter, TX 77365-7603
Phone 512-956-9929
Mailing address
20711 Lavone DrPorter, TX 77365-7603
Authorized official
Bharat Mittal
Medical Director
5129569929
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