Individual provider · Type 1 NPI

Richard L. Mittan, PA-C

Physician Assistant · Odessa, TX

NPI number 1215446919 Active

Practice location

4040 Medical Park Dr
Odessa, TX 79765-2233

Fax (432) 333-8014

Mailing address

PO Box 734240
Chicago, IL 60673-4240

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215446919

Richard L. Mittan, PA-C's National Provider Identifier is 1215446919, issued on Sep 25, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Odessa, TX. The record was last updated on Jun 17, 2025.