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NPI Code Detail

MEDICARE: MITCHELL C MAUDER ATS

MEDICARE: MITCHELL C MAUDER ATS
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1336647460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL C MAUDER ATS
Provider Business Mailing Address
First Line : 9301 N CENTRAL EXPY STE 451
Second Line :
City : DALLAS
State : TX
Zip : 75231-0832
Country : US
Telephone Number : 214-397-1570
Fax Number :
Provider Business Practice Location Address
First Line : 9301 N CENTRAL EXPY STE 451
Second Line :
City : DALLAS
State : TX
Zip : 75231-0832
Country : US
Telephone Number : 214-397-1570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2018
Last Update Date : 11/10/2025

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Directions to “ MITCHELL C MAUDER ATS” Practice Location

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