Mitchell, James R

Mitchell, James R is an individual health care provider with primary practice located at 6621 Fannin St , Houston TX 77030-2358. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Mitchell, James R can be contacted via phone (850) 381-3493.

Contact Information

Primary practice address
6621 Fannin St Houston TX 77030-2358
Phone: (850) 381-3493
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X Q6450 Texas
Other Service Providers / Specialist 174400000X ME55957 Florida
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME55957 Florida

Profile Details

NPI number 1396768123
LBN Legal business name Mitchell, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 24th, 2016 - about 9 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 1396768123 NPPES
Florida MEDICAID 059099100

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