Teddy Lee Mitchell in Lubbock - Sports Medicine
Teddy Lee Mitchell - NPI 1295894830
Teddy Lee Mitchell is a Sports Medicine in Lubbock, Texas. Teddy Lee Mitchell practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Teddy Lee Mitchell is 1295894830. The last update date is 2022-01-25.
Teddy Lee Mitchell's current location address is 3601 4th St, Lubbock, Texas. You can contact this provider via phone number 8067433150 and fax number 8067433168. The mailing address for Teddy Lee Mitchell is 3601 4th St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Teddy Lee Mitchell |
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Address | 3601 4th St, Lubbock, Texas |
Phone Number | 8067433150 |
Fax Number | 8067433168 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1295894830 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2022-01-25 |
Provider Mailing Address Detail
Address | 3601 4th St |
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City | Lubbock |
State | Texas (TX) |
Post Code | 794300002 |
Phone Number | 8067433150 |
Fax Number | 8067433168 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Rs0010X |
Licence No | H4561 |
Definition: An internist 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 have knowledge and exp |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
110243668 | TX | RAILROAD MEDICARE | |
840517 | TX | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Teddy Lee Mitchell by the Centers for Medicare & Medicaid Services?
The Teddy Lee Mitchell has been issued the NPI (National Provider Identifier) 1295894830 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Teddy Lee Mitchell's physical address?
The Teddy Lee Mitchell is physically located at 3601 4Th St, in the city of Lubbock, TX, with the postal code 794300002.
What is the area of specialization for Teddy Lee Mitchell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Teddy Lee Mitchell is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rs0010X.
On what date did Teddy Lee Mitchell receive its 1295894830 assignment from the Centers for Medicare & Medicaid Services?
The Teddy Lee Mitchell was assigned its 1295894830 on 2006-12-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Teddy Lee Mitchell last refreshed?
The information related to the Teddy Lee Mitchell, including its address, specialty, and other relevant details, was last updated on 2022-01-25.
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