Gary Mitchell, MD | |
901 W Ben White Blvd, Austin, TX 78704-6903 | |
(512) 447-2211 | |
Not Available |
Full Name | Gary Mitchell |
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Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 901 W Ben White Blvd, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750339602 | NPI | - | NPPES |
134060607 | Medicaid | TX | |
134060605 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | D9574 (Texas) | Primary |
207P00000X | Emergency Medicine | D9574 (Texas) | Secondary |
Entity Name | Longhorn Emergency Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
Mailing Address | Practice Location Address |
---|---|
Gary Mitchell, MD 13310 Ranch Road 12, Wimberley, TX 78676-5304 Ph: (512) 842-1190 | Gary Mitchell, MD 901 W Ben White Blvd, Austin, TX 78704-6903 Ph: (512) 447-2211 |
Dr. Suprina Dorai, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8721 Menchaca Rd, Austin, TX 78748 Phone: 512-280-6959 | |
Nicole Maree Hotchkiss, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6300 La Calma Dr Ste 200, Austin, TX 78752 Phone: 512-452-8533 | |
Dr. Gurpreet Basraon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12201 Renfert Way Ste 105, Austin, TX 78758 Phone: 877-800-5722 | |
Kimberly Snyder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12221 N. Mopac Expressway, Austin, TX 78758 Phone: 512-901-1000 | |
Rex E. Medford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Ronald S. Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Eric A Higginbotham, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8611 N Mopac Expy # 300, Austin, TX 78759 Phone: 737-220-8200 |