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General NPI Number Information
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NPI Number | 1073717237
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Entity Type | Individual
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Provider Name | CECILIA ALEJANDRA GARCIA DE MITCHELL MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 4499 MEDICAL DR SUITE 347
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3735
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Country | US
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Telephone | 210-615-0068
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Fax | 210-615-0076
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Provider Business Mailing Address
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Address Line | 4499 MEDICAL DR SUITE 347
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3735
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Country | US
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Telephone | 210-615-0068
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Fax | 210-615-0076
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | N1643
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | N1643
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License Number State | TX
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