Mitchell, Ronnie
Mitchell, Ronnie is an individual health care provider with primary practice located at 751 E Southlake Blvd Ste 100 , Southlake TX 76092-6352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Ronnie can be contacted via phone (972) 355-3771.Contact Information
Primary practice address
751 E Southlake Blvd Ste 100
Southlake TX 76092-6352
Phone: (972) 355-3771
Fax: (972) 739-2418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K1566 | Texas |
Profile Details
| NPI number | 1043212343 |
|---|---|
| LBN Legal business name | Mitchell, Ronnie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 22nd, 2019 - about 7 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 | 1043212343 | NPPES |
| Texas | MEDICAID | 096696204 |
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