Jennifer T. Mitchell in Lubbock - Sports Medicine

Jennifer T. Mitchell - NPI 1154313054

Jennifer T. Mitchell is a Sports Medicine in Lubbock, Texas. Jennifer T. Mitchell practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jennifer T. Mitchell is 1154313054. The last update date is 2021-12-02.

Jennifer T. Mitchell's current location address is Po Box 5865, Lubbock, Texas. You can contact this provider via phone number 8067432898 and fax number 8067432787. The mailing address for Jennifer T. Mitchell is Po Box 5865, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer T. Mitchell
Address Po Box 5865, Lubbock, Texas
Phone Number 8067432898
Fax Number 8067432787
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1154313054
Provider Enumeration Date 2005-08-17
Last Updated Date 2021-12-02

Provider Mailing Address Detail

Address Po Box 5865
City Lubbock
State Texas (TX)
Post Code 794085865
Phone Number 8067432898
Fax Number 8067432787

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No J6508
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
146288903 TX --
A569 NM TRIWEST
146288902 TX --
87418Z TX HMO BLUE
200016590A OK --
8F3612 TX BCBS
101608100 TX FIRSTCARE COMMERCIAL
29557887 NM --
101608101 TX --

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FAQs about Jennifer T. Mitchell

What is the Jennifer T. Mitchell's unique identification number?

The Jennifer T. Mitchell has been assigned the NPI (National Provider Identifier) Number 1154313054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Jennifer T. Mitchell's physical address?

The Jennifer T. Mitchell is physically located at Po Box 5865, in the city of Lubbock, TX, with the postal code 794085865.

What is the Jennifer T. Mitchell's area of specialization and corresponding taxonomy classification?

The Jennifer T. Mitchell's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.

On what date did the Jennifer T. Mitchell receive its 1154313054 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer T. Mitchell was assigned its 1154313054 by the Centers for Medicare & Medicaid Services on 2005-08-17.

As of what date were the details related to Jennifer T. Mitchell most recently updated or revised?

The information pertaining to Jennifer T. Mitchell, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-02.

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