| Elizabeth L. Mitchell Md Pa | |
|
11124 Wurzbach Rd Ste 300 San Antonio TX 78230-2445 | |
| (210) 694-2438 | |
| (210) 694-2439 |
| Full Name | Elizabeth L. Mitchell Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11124 Wurzbach Rd Ste 300, San Antonio, Texas |
| Authorized Official Name and Position | Elizabeth L. Mitchell (OWNER) |
| Authorized Official Contact | 2106942438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth L. Mitchell Md Pa 11124 Wurzbach Rd Ste 300 San Antonio TX 78230-2445 Ph: (210) 694-2438 | Elizabeth L. Mitchell Md Pa 11124 Wurzbach Rd Ste 300 San Antonio TX 78230-2445 Ph: (210) 694-2438 |
| NPI Number | 1811139058 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 04/02/2009 |
| Medicare PECOS PAC ID | 9436281276 |
|---|---|
| Medicare Enrollment ID | O20100714000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811139058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Elizabeth L Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972695021 PECOS PAC ID: 6608908447 Enrollment ID: I20100715000127 |
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