Individual
GLEN MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4327 BARNETT RD, WICHITA FALLS, TX 76310-2303
(940) 397-5400
(940) 397-5487
Mailing address
501 MIDWESTERN PKWY E, WICHITA FALLS, TX 76302-2302
(940) 766-8435
(940) 766-8497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00709
TX
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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