Provider Demographics
NPI:1700864246
Name:DUNN, MITCHELL HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:HAROLD
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5952 ROYAL LN
Mailing Address - Street 2:SUITE 268
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-3862
Mailing Address - Country:US
Mailing Address - Phone:214-987-0268
Mailing Address - Fax:214-987-0274
Practice Address - Street 1:5952 ROYAL LN
Practice Address - Street 2:SUITE 268
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-3862
Practice Address - Country:US
Practice Address - Phone:214-987-0268
Practice Address - Fax:214-987-0274
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH98992084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F17397Medicare UPIN
TX82T637Medicare PIN
00U71DMedicare ID - Type Unspecified