Individual
MITCHELL B HUGHSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1713 TREASURE HILLS BLVD, STE 1D, HARLINGEN, TX 78550-8917
(956) 425-8545
(956) 412-0160
Mailing address
1713 TREASURE HILLS BLVD, STE 1D, HARLINGEN, TX 78550-8917
(956) 425-8545
(956) 412-0160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H1377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122689601
—
TX
01
—
H1377
STATE LICENSE
TX
Enumeration date
07/01/2005
Last updated
09/23/2015
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