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NPI Code Detail

MEDICARE: MELISSA MITCHELL

MEDICARE:   MELISSA  MITCHELL
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
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General Provider Information

NPI Number : 1225726722
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MITCHELL
Provider Business Mailing Address
First Line : 4820 STRACK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77069-1610
Country : US
Telephone Number : 832-429-6591
Fax Number :
Provider Business Practice Location Address
First Line : 4820 STRACK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77069-1610
Country : US
Telephone Number : 832-429-6591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2023
Last Update Date : 04/24/2023

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Directions to “ MELISSA MITCHELL ” Practice Location

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