Individual
JOSEPH MATHEW MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., N.P.
Contact information
Practice address
403 STATE HIGHWAY 110 N, WHITEHOUSE, TX 75791-3109
(903) 839-1000
(903) 839-4000
Mailing address
1015 W 39TH 1/2 ST, AUSTIN, TX 78756-4005
(512) 371-7478
(512) 371-3861
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP120784
TX
363LF0000X
Family Nurse Practitioner
783920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912290362
BCBSTX
TX
01
—
870N31
BCBSTX
TX
Enumeration date
05/18/2011
Last updated
06/02/2020
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