Individual
MARK MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
311 CAMDEN ST, SAN ANTONIO, TX 78215-2012
(210) 281-9800
Mailing address
13210 LOMA CHICA, SAN ANTONIO, TX 78233-2444
(914) 420-0485
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132560
TX
Other
Enumeration date
11/12/2016
Last updated
11/12/2016
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