Individual
MITCHELL LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD DALLAS, DALLAS, TX 75390-0001
(214) 645-0355
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0355
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
Q9964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A796950
BLUE SHIELD OF CA
CA
05
—
00A796950
—
CA
01
—
00A796950303
CALOPTIMA
CA
01
—
050086413
RR MEDICARE
CA
Enumeration date
06/22/2006
Last updated
09/29/2016
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