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NPI Code Detail

MEDICARE: MR. RAYFORD BENARD MITCHELL M.D.

MEDICARE:  MR. RAYFORD BENARD 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
1207Q00000XFamily Medicine PhysicianM2718TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811012198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYFORD BENARD MITCHELL M.D.
Provider Business Mailing Address
First Line : 310 W OAKLAWN RD
Second Line :
City : PLEASANTON
State : TX
Zip : 78064-4033
Country : US
Telephone Number : 830-569-8940
Fax Number : 830-569-8320
Provider Business Practice Location Address
First Line : 757 S PANNA MARIA AVE
Second Line :
City : KARNES CITY
State : TX
Zip : 78118-3808
Country : US
Telephone Number : 830-780-3100
Fax Number : 830-780-3130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 02/11/2026

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