Organization
IN HOME PODIATRY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T MITHCHELL (OWNER/CEO)
(248) 893-0500
Entity
Organization
Contact information
Practice address
1301 W 7TH ST, STE 121A, FORT WORTH, TX 76102-2651
(817) 348-9967
(877) 474-7346
Mailing address
1301 W 7TH ST, STE 121A, FORT WORTH, TX 76102-2651
(817) 348-9967
(877) 474-7346
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
TX
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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