Mitchell, Derrick A

Mitchell, Derrick A is an individual health care provider with primary practice located at 10130 Louetta Rd Suite L, Houston TX 77070-2118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mitchell, Derrick A can be contacted via phone (281) 301-3130.

Contact Information

Primary practice address
10130 Louetta Rd Suite L Houston TX 77070-2118
Phone: (281) 301-3130
Fax: (281) 301-3134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M0828 Texas

Profile Details

NPI number 1447230685
LBN Legal business name Mitchell, Derrick A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Dec 27th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447230685 NPPES
Texas Other 8J9907 BCBSTX PROV NO
Texas MEDICAID 175406101 BCBSTX PROV NO
Texas Other P00251027 BCBSTX PROV NO
Texas MEDICAID 175406102 BCBSTX PROV NO

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