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NPI Code Detail

MEDICARE: DR. DANA FAYE MITCHELL M.D.

MEDICARE:  DR. DANA FAYE 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
1207R00000XInternal Medicine Physician024951LA
2207RN0300XNephrology PhysicianM4361TX
3207P00000XEmergency Medicine Physician00026053AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M4361OTHERTXSTATE OF TEXAS

General Provider Information

NPI Number : 1659308450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA FAYE MITCHELL M.D.
Provider Business Mailing Address
First Line : 2525 NORTH LOOP W STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1094
Country : US
Telephone Number : 713-866-6201
Fax Number :
Provider Business Practice Location Address
First Line : 2525 NORTH LOOP W STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1094
Country : US
Telephone Number : 713-866-6201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 04/04/2024

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Directions to “ DR. DANA FAYE MITCHELL M.D.” Practice Location

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