Individual
DR. DEREK MITCHELL
Active
Individual
DR. DEREK MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K7832
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148372901
—
TX
05
—
148372906
—
TX
01
—
8FR003
BCBS
TX
01
—
P01624117
RR MEDICARE
TX
Enumeration date
06/30/2006
Last updated
06/05/2018
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