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General NPI Number Information
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NPI Number | 1578540712
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Entity Type | Organization
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Legal Business Name | MITCHELL M PORIAS DO PA
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 2030 N LOOP W #200
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City | HOUSTON
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State | TX
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Zip | 77018
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Country | US
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Telephone | 713-681-5367
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Fax | 713-681-8202
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Provider Business Mailing Address
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Address Line | 2030 N LOOP W #200
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City | HOUSTON
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State | TX
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Zip | 77018
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Country | US
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Telephone | 713-681-5367
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Fax | 713-681-8202
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Authorized Official
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Title or Position | PRACTITIONER
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Name | MITCHELL MILES PORIAS
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Credential | DO
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Telephone | 713-681-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E4920
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License Number State | TX
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