Provider Demographics
NPI:1245236231
Name:FINNIE, MITCHELL FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:FRANK
Last Name:FINNIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12000 HUEBNER RD
Mailing Address - Street 2:STE 104
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1209
Mailing Address - Country:US
Mailing Address - Phone:210-561-2422
Mailing Address - Fax:210-561-2466
Practice Address - Street 1:12000 HUEBNER RD
Practice Address - Street 2:STE 104
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1209
Practice Address - Country:US
Practice Address - Phone:210-561-2422
Practice Address - Fax:210-561-2466
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-23
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ2003207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF33099Medicare UPIN
TX00946RMedicare ID - Type UnspecifiedGROUP NUMBER
TX8954N0Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER