Individual
MR. MITCHEL EARL PRESLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.O.
Contact information
Practice address
4800 NE STALLINGS DR, SUITE 1600, NACOGDOCHES, TX 75965-1249
(936) 622-3832
(936) 622-3851
Mailing address
140 DALLAS ST, NACOGDOCHES, TX 75965-1959
(936) 622-3850
(936) 622-3851
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
55
TX
Other
Enumeration date
10/19/2006
Last updated
07/22/2007
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