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MARIA CECILIA MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
1901 W LOOP 289, STE 3, LUBBOCK, TX 79407
(806) 792-7125
(806) 792-7121
Mailing address
1901 W LOOP 289, STE 3, LUBBOCK, TX 79407
(806) 792-7125
(806) 792-7121

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0043163
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84220T
BCBS
TX
Enumeration date
11/14/2006
Last updated
08/01/2008
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