Individual
DR. SHANNON MARIE MITCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PT
Contact information
Practice address
3005 S LAMAR BLVD, STE D109-134, AUSTIN, TX 78704-8864
(512) 550-5513
Mailing address
3005 S LAMAR BLVD., STE # D 109-134, AUSTIN, TX 78704-8864
(512) 550-5513
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
N3898
TX
225100000X
Physical Therapist
1088805
TX
Other
Enumeration date
05/16/2007
Last updated
04/28/2011
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