Provider Demographics
NPI:1790928091
Name:CAMELIA MITCHELL RIGSBY MD PA
Entity Type:Organization
Organization Name:CAMELIA MITCHELL RIGSBY MD PA
Other - Org Name:CAMELIA MITCHELL MD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-699-9221
Mailing Address - Street 1:14902 PRESTON RD
Mailing Address - Street 2:SUITE 404-1051
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-9191
Mailing Address - Country:US
Mailing Address - Phone:214-699-9221
Mailing Address - Fax:972-559-1871
Practice Address - Street 1:3020 W WHEATLAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3537
Practice Address - Country:US
Practice Address - Phone:214-699-9221
Practice Address - Fax:972-559-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2013-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty