Healthcare Provider Details

I. General information

NPI: 1609908201
Provider Name (Legal Business Name): MITCHELL B. HUGHSTON, M.D. & SUSAN L. REDMOND, M.D., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 TREASURE HILLS BLVD SUITE 1D
HARLINGEN TX
78550-8917
US

IV. Provider business mailing address

1713 TREASURE HILLS BLVD SUITE 1D
HARLINGEN TX
78550-8917
US

V. Phone/Fax

Practice location:
  • Phone: 956-425-8545
  • Fax: 956-412-0160
Mailing address:
  • Phone: 956-425-8545
  • Fax: 956-412-0160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberH1377
License Number StateTX

VIII. Authorized Official

Name: MITCHELL B HUGHSTON
Title or Position: MD
Credential:
Phone: 956-425-8545