Daryl Winston Mitchell in Shreveport - Specialist

Daryl Winston Mitchell - NPI 1992783443

Daryl Winston Mitchell is a Specialist in Shreveport, Louisiana. Daryl Winston Mitchell practices all healthcare services and medical treatments related to Specialist. The NPI Number for Daryl Winston Mitchell is 1992783443. The last update date is 2007-07-08.

Daryl Winston Mitchell's current location address is 2508 Bert Kouns Loop, Shreveport, Louisiana. You can contact this provider via phone number 3186865440 and fax number 3186860624. The mailing address for Daryl Winston Mitchell is 2508 Bert Kouns Loop, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Daryl Winston Mitchell
Address 2508 Bert Kouns Loop, Shreveport, Louisiana
Phone Number 3186865440
Fax Number 3186860624
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1992783443
Provider Enumeration Date 2006-01-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2508 Bert Kouns Loop
City Shreveport
State Louisiana (LA)
Post Code 711183133
Phone Number 3186865440
Fax Number 3186860624

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 07044R
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8083TU TX BCBS OF TX
1378071 LA --
29416 LA BCBS OF LA

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FAQs about Daryl Winston Mitchell

What is the unique identifier code issued to Daryl Winston Mitchell by the Centers for Medicare & Medicaid Services (CMS)?

The Daryl Winston Mitchell has been assigned the NPI (National Provider Identifier) 1992783443. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Daryl Winston Mitchell's facilities are situated?

The facilities of Daryl Winston Mitchell are physically located at the following address: 2508 Bert Kouns Loop, Shreveport, LA, 711183133.

What is Daryl Winston Mitchell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Daryl Winston Mitchell's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

When was the Daryl Winston Mitchell's 1992783443 issued?

The Daryl Winston Mitchell's 1992783443 was issued on 2006-01-05.

When was the information regarding Daryl Winston Mitchell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Daryl Winston Mitchell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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