Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Richard L Mittan, PA-C

Individual provider Physician Assistant · NPI 1215446919

Mr. Richard L Mittan, PA-C is a Physician Assistant in Odessa, Texas. Graduated from Wake Forest University School of Medicine in 2017, 9 years ago. Practices with Pinnacle Dermatology SC, a 145-clinician group and accepts Medicare assignment.

Years since qualifying
9
Trained at
Wake Forest University School of Medicine
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4040 Medical Park Dr
Odessa, TX 79765-2233
Phone: (432) 333-6603
Fax: (432) 333-8014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215446919
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2017
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Pinnacle Dermatology Sc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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