Mitchell, Ricky D
Mitchell, Ricky D is an individual health care provider with primary practice located at 3816 S Clear Creek Rd Suite E, Killeen TX 76549-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mitchell, Ricky D can be contacted via phone (254) 554-8773.Contact Information
Primary practice address
3816 S Clear Creek Rd Suite E
Killeen TX 76549-4400
Phone: (254) 554-8773
Fax: (254) 554-2018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M8845 | Texas |
Profile Details
| NPI number | 1144286980 |
|---|---|
| LBN Legal business name | Mitchell, Ricky D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Apr 22nd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144286980 | NPPES |
| Texas | MEDICAID | 193746801 |
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