Organization
L.STACY MITCHELL M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL STACY MITCHELL M.D. (OWNER)
(956) 618-5100
Entity
Organization
Contact information
Practice address
3115 CENTER POINT DR, EDINBURG, TX 78539-8433
(956) 618-5100
(956) 618-9923
Mailing address
PO BOX 3314, MCALLEN, TX 78502-3314
(956) 618-5100
(956) 618-9923
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K7344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000041M2
—
TX
Enumeration date
06/09/2010
Last updated
06/09/2010
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