Organization
DTM WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK T MITCHELL MD (OWNER, AUTHORIZED OFFICIAL)
(972) 920-6968
Entity
Organization
Contact information
Practice address
601 SHELLEY PARK PLZ, TYLER, TX 75701-9457
(972) 920-6968
Mailing address
601 SHELLEY PARK PLZ, TYLER, TX 75701-9457
(972) 920-6968
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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