Organization Active NPI

Myway Medical

  • General Practice Physician
  • Porter, TX
National Provider Identifier
1982147690
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P7313 Issued in TX
Legal business name
MYWAY MEDICAL
Practice address
20711 Lavone Dr
Porter, TX 77365-7603
Phone
(512) 956-9929
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Dr. Bharat Mittal, D.O.
Title
Medical Director
Phone
(512) 956-9929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X P7313 TX Primary

Addresses

Primary practice location

20711 Lavone Dr
Porter, TX 77365-7603

Mailing address

20711 Lavone Dr
Porter, TX 77365-7603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1982147690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20711 LAVONE DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20711 LAVONE DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657603",
            "telephone_number": "512-956-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYWAY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-956-9929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "P7313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.