Individual
BRANDON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 W EAGLE DR STE B, DECATUR, TX 76234-3721
(940) 627-1770
(940) 624-2233
Mailing address
1101 W EAGLE DR STE B, DECATUR, TX 76234-3721
(940) 627-1770
(940) 627-2233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP129196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBSTX
TX
05
—
PENDING
—
TX
Enumeration date
10/12/2015
Last updated
05/29/2019
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