Provider Demographics
NPI:1225640949
Name:MITCHELL ORTHOPAEDICS, PLLC
Entity Type:Organization
Organization Name:MITCHELL ORTHOPAEDICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-257-8220
Mailing Address - Street 1:695 HILL COUNTRY DR STE B
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-6074
Mailing Address - Country:US
Mailing Address - Phone:830-257-2880
Mailing Address - Fax:830-257-8333
Practice Address - Street 1:695 HILL COUNTRY DR STE B
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6074
Practice Address - Country:US
Practice Address - Phone:830-257-2880
Practice Address - Fax:830-257-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty