Mitchell, Gary

Mitchell, Gary is an individual health care provider with primary practice located at 901 W Ben White Blvd , Austin TX 78704-6903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Mitchell, Gary can be contacted via phone (512) 447-2211.

Contact Information

Primary practice address
901 W Ben White Blvd Austin TX 78704-6903
Phone: (512) 447-2211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X D9574 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D9574 Texas

Profile Details

NPI number 1750339602
LBN Legal business name Mitchell, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 14th, 2010 - about 14 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 1750339602 NPPES
Texas MEDICAID 134060607
Texas MEDICAID 134060605

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