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Richard Mittan is one of 63 physician assistants practicing in Odessa, Texas .
Richard Mittan practices with Pinnacle Dermatology SC.
Registry record (NPPES)
NPI
1215446919
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
4040 Medical Park Dr Odessa, TX 79765-2233 (432) 333-6603
Enumerated
Sep 25, 2017
Record last updated
Jun 17, 2025
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
4040 Medical Park Dr
Odessa , TX 79765
(432) 217-0344
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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