Mitchell Daggett, OD

NPI 1710929104 · on the registry since 2006 · sole proprietor

Practice

Address: 6823 Green Oaks Rd
Ste B
Fort Worth, TX 76116
Phone: (817) 731-4400
Fax: (866) 417-3176
Organisation at this address: Jay Kishun Enterprise Inc
Penguin Medical Supplies, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas