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NPI Code Detail

MEDICARE: DR. WILLIAM HENRY MITCHELL JR. D.P.M.

MEDICARE:  DR. WILLIAM HENRY MITCHELL JR. D.P.M.
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
1213E00000XPodiatrist650TX
2213EP1101XPrimary Podiatric Medicine Podiatrist650TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01283772OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700944634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM HENRY MITCHELL JR. D.P.M.
Provider Business Mailing Address
First Line : 3907 PALM
Second Line :
City : HOUSTON
State : TX
Zip : 77004-6532
Country : US
Telephone Number : 512-983-8060
Fax Number :
Provider Business Practice Location Address
First Line : 3907 PALM
Second Line :
City : HOUSTON
State : TX
Zip : 77004-6532
Country : US
Telephone Number : 512-983-8060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 11/07/2014

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