Individual
DR. DERRICK A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10130 LOUETTA RD, SUITE L, HOUSTON, TX 77070-2118
(281) 301-3130
(281) 301-3134
Mailing address
10130 LOUETTA RD, SUITE L, HOUSTON, TX 77070-2118
(281) 301-3130
(281) 301-3134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M0828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175406101
—
TX
05
—
175406102
—
TX
01
—
8J9907
BCBSTX PROV NO
TX
01
—
P00251027
RAILROAD MEDICARE PROV NO
TX
Enumeration date
01/21/2006
Last updated
12/01/2025
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