Samuel R Mitz MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L5468 Issued in TX

Legal business name

SAMUEL R MITZ MD PA

Practice address

803 W Lampasas St
Ennis, TX 75119-4535

Phone

(972) 875-0546

NPI assigned

Aug 29, 2013

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel R Mitz, MDNPI 1619948213

Title

Owner

Phone

(214) 535-7079

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel R Mitz, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1619948213
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1245664960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 WHITE ROCK TRL STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385039",
            "telephone_number": "214-506-2615",
            "fax_number": "214-506-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194535",
            "telephone_number": "972-875-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL R MITZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "MITZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-535-7079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L5468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin M Runyan, DC
• Stefanie Nicole Rust, D.O.
• Emmanuel Edmund Sackey, MD
• Jose J Salguero, MD
• Nasim Salim, D.D.S
• Samuel R Mitz MD PA
• Alysa Mari Santos, COTA
• Miatta Ruth Sawyerr, NP
• Taylor Schaar, DDS
• Segnian BH Services LLC (A Better Outlook Counseling Service)

• Internal Medicine Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.