Individual
MR. MATTHEW J MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6250 US HIGHWAY 83, ABILENE, TX 79606-5215
(325) 428-1000
Mailing address
PO BOX 7909, LONGVIEW, TX 75607-7909
(903) 643-8869
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
744782
TX
367500000X
Certified Registered Nurse Anesthetist
98827
OK
Other
Enumeration date
01/10/2012
Last updated
07/22/2020
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