Individual
MR. CHARLIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2002 HOLCOMBE BOULEVARD, HOUSTON, TX 77030-4298
(713) 794-1414
(713) 794-7094
Mailing address
10510 SAGETRAIL, HOUSTON, TX 77089-2912
(281) 484-1167
(281) 484-2570
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0849
TX
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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