HomeNPI Verification

NPI Verification

National Provider Identifier: 1407485808

Mitchell Ryan Petty

Individual Provider

Primary Specialty

Urology

Code: 208800000X

Practice Address

419 W SAN ANTONIO ST

LOCKHART, TX 786442657

Phone: 512-913-8036

NPI Enumeration Date

April 7, 2020

NPI Number

1407485808

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry