Provider Demographics
NPI:1811139058
Name:ELIZABETH L. MITCHELL MD PA
Entity type:Organization
Organization Name:ELIZABETH L. MITCHELL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-694-2438
Mailing Address - Street 1:11124 WURZBACH RD STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2445
Mailing Address - Country:US
Mailing Address - Phone:210-694-2438
Mailing Address - Fax:210-694-2439
Practice Address - Street 1:11124 WURZBACH RD STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2445
Practice Address - Country:US
Practice Address - Phone:210-694-2438
Practice Address - Fax:210-694-2439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty