Provider Demographics
NPI:1720358294
Name:PILOT, MITCHELL CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:MITCHELL
Middle Name:CHARLES
Last Name:PILOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4437
Mailing Address - Country:US
Mailing Address - Phone:713-660-0860
Mailing Address - Fax:
Practice Address - Street 1:5111 LINDEN ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4437
Practice Address - Country:US
Practice Address - Phone:713-660-0860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3730207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology