Individual
MR. ZEBBIE D MITCHELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
20165 KASSERINE WAY, EL PASO, TX 79925
(334) 804-8157
Mailing address
9300 VISCOUNT BLVD, EL PASO, TX 79925-6516
(334) 804-8157
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT8912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000022854
BOC CERTIFICATION
—
01
—
AT8912
STATE LICENSE
TX
Enumeration date
12/06/2022
Last updated
12/06/2022
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