| E.a. Mitchell D.d.s. Inc. | |
|
1511 E Berry St Fort Worth TX 76119-3005 | |
| (817) 924-7171 | |
| (817) 924-5171 |
| Full Name | E.a. Mitchell D.d.s. Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1511 E Berry St, Fort Worth, Texas |
| Authorized Official Name and Position | E. A. Mitchell (PRESIDENT) |
| Authorized Official Contact | 8179247171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E.a. Mitchell D.d.s. Inc. 1511 E Berry St Fort Worth TX 76119-3005 Ph: (817) 924-7171 | E.a. Mitchell D.d.s. Inc. 1511 E Berry St Fort Worth TX 76119-3005 Ph: (817) 924-7171 |
| NPI Number | 1073722955 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073722955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11041 (Texas) | Primary |
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