Doctor Name: | DR. MICHAEL LEWIS MINTZ |
NPI Number: | 1023013612 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | E5858 |
Business Practice Address: | 3318 S Alameda St Corpus Christi, TX - 784111821 |
Business Phone Number: | 3618547000 |
Business Fax Number: | 3618142685 |
Mailing Address: | Po Box 6282, CORPUS CHRISTI |
State: | TX |
Postal Code: | 784666282 |
Phone Number: | 3618547000 |
Fax Number: | 3618142685 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | E5858 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |