Organization
FIDEM HOSPITALIST PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK ANTHONY MITCHELL M.D. (VICE PRESIDENT)
(936) 524-8049
Entity
Organization
Contact information
Practice address
20635 KUYKENDAHL RD, SPRING, TX 77379-3533
(281) 363-7170
Mailing address
43 LAURELHURST CIR, THE WOODLANDS, TX 77382-1520
(936) 524-8049
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
12/11/2014
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