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Organization
STILLHOUSE EMERGENCY PHYSICIANS
Active
Organization
STILLHOUSE EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW SHELDON MITCHELL (BILLING MANAGER)
(254) 526-5970
Entity
Organization
Contact information
Practice address
3816 S CLEAR CREEK, SUITE D, KILLEEN, TX 76549-4400
(254) 554-8773
Mailing address
PO BOX 10308, KILLEEN, TX 76547-0308
(254) 554-8773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026KV
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/02/2006
Last updated
09/16/2008
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