Samuel R Mitz MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAMUEL R MITZ MD PA

Practice address

2201 W Lampasas St
Ennis, TX 75119-5644

Phone

(972) 875-0900

Fax

(469) 256-2163

NPI assigned

Sep 24, 2009

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, MD

Title

Owner

Phone

(972) 875-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1497089478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4781",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752080781",
            "telephone_number": "972-875-0900",
            "fax_number": "214-942-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-0900",
            "fax_number": "469-256-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL R MITZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2014-02-25",
        "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": "972-875-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208753802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Senior Living Properties LLC

• 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 Feb 25, 2014; 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.