Lebron-Frank, Derek Mitchum
Lebron-Frank, Derek Mitchum is an sole proprietor health care provider with primary practice located at 18511 Highlander Medics Street Wbamc, Fort Bliss TX 79918. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lebron-Frank, Derek Mitchum can be contacted via phone (915) 569-3213.Contact Information
Primary practice address
18511 Highlander Medics Street Wbamc
Fort Bliss TX 79918
Phone: (915) 569-3213
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 133873 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1068499 | Texas |
Profile Details
| NPI number | 1710654074 |
|---|---|
| LBN Legal business name | Lebron-Frank, Derek Mitchum |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2021 |
| Last updated | Jul 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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