Individual
MRS. DEBORAH R. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5012 S US HIGHWAY 75, SUITE 300, DENISON, TX 75020-4587
(903) 416-6200
(903) 416-6201
Mailing address
5012 S US HIGHWAY 75 STE 300, ATTN BILLING, DENSION, TX 75020-4589
(903) 416-6200
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP107319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200571280A
—
OK
05
—
2138804205
—
TX
Enumeration date
09/06/2006
Last updated
01/26/2018
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