Individual provider · Type 1 NPI

Mitchell Ryan Petty

Urology Physician · Carlsbad, NM

NPI number 1407485808 Active

Practice location

2420 W Pierce St Ste 102
Carlsbad, NM 88220-3517

Mailing address

419 W San Antonio St
Lockhart, TX 78644-2657

Other practice locations

  • 419 W San Antonio St, Lockhart, TX 78644-2657 · (512) 913-8036

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XDO2025-0162 (NM)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1407485808

Mitchell Ryan Petty's National Provider Identifier is 1407485808, issued on Apr 7, 2020. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Carlsbad, NM. The record was last updated on Oct 9, 2025.