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NPI Code Detail

MEDICARE: DR. RON BENSON MITCHELL M.D.

MEDICARE: DR. RON BENSON MITCHELL M.D.
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
1207YP0228XPediatric Otolaryngology Physician44274TX

General Provider Information

NPI Number : 1306872270
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RON BENSON MITCHELL M.D.
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-456-6713
Fax Number : 214-456-7644
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line : SUITE 4740
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-456-6713
Fax Number : 214-456-7644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 07/26/2013

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