E.a. Mitchell D.d.s. Inc.

NPI 1073722955 - Clinic/Center - 261QD0000X

NPI Details
NPI 1073722955
Enumeration Date 05/21/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name E. A. E.
Position PRESIDENT
Phone (817) 924-7171
Fax (817) 924-5171
Practice Location
1511 E BERRY ST
FORT WORTH TX, 76119-3005, US
Phone (817) 924-7171
Fax (817) 924-5171
Business Location
1511 E BERRY ST
FORT WORTH TX, 76119-3005, US
Phone (817) 924-7171
Fax (817) 924-5171
Toxanomy
Taxonomy Code 261QD0000X
License State Texas
License Number 11041
Remove 1073722955 NPI Number
 

According to our database, E.a. Mitchell D.d.s. Inc. NPI is 1073722955, taxonomy code is 261QD0000X and license number is 11041, license state is located at Texas. E.a. Mitchell D.d.s. Inc. physically located at 1511 E Berry St, Fort Worth TX, 76119-3005. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073722955 NPI number is provided on an as is basis without warranty of any kind. 1073722955 is maintained by the National Plan & Provider Enumeration System. The contents of E.a. Mitchell D.d.s. Inc. are for informational purposes only.