Mitchell, Teddy Lee

Mitchell, Teddy Lee is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mitchell, Teddy Lee can be contacted via phone (806) 743-3150.

Contact Information

Primary practice address
3601 4Th St Lubbock TX 79430-0002
Phone: (806) 743-3150
Fax: (806) 743-3168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X H4561 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H4561 Texas

Profile Details

NPI number 1295894830
LBN Legal business name Mitchell, Teddy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jan 25th, 2022 - about 2 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 1295894830 NPPES
Texas Other 110243668 RAILROAD MEDICARE
Texas Other 840517 RAILROAD MEDICARE

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