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NPI Code Detail

MEDICARE: DR. GERALD JOHN MITCHELL MD

MEDICARE: DR. GERALD JOHN MITCHELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianE1907TX
2207R00000XInternal Medicine PhysicianE1907TX

General Provider Information

NPI Number : 1710905963
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD JOHN MITCHELL MD
Provider Business Mailing Address
First Line : 1220 MCGINNIS PT
Second Line :
City : GRAFORD
State : TX
Zip : 76449-3196
Country : US
Telephone Number : 940-445-1940
Fax Number :
Provider Business Practice Location Address
First Line : 1301 MONTGOMERY RD
Second Line :
City : GRAHAM
State : TX
Zip : 76450-4240
Country : US
Telephone Number : 940-549-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/06/2009

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Directions to “ DR. GERALD JOHN MITCHELL MD” Practice Location

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