| Li-yu Huang Mitchell Md Pa | |
|
833 S Beckham Ave Tyler TX 75701-1905 | |
| (903) 780-5655 | |
| Not Available |
| Full Name | Li-yu Huang Mitchell Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 833 S Beckham Ave, Tyler, Texas |
| Authorized Official Name and Position | Li-yu Huang Mitchell (OWNER) |
| Authorized Official Contact | 9037805655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Li-yu Huang Mitchell Md Pa Po Box 7204 Tyler TX 75711-7204 Ph: (903) 780-5655 | Li-yu Huang Mitchell Md Pa 833 S Beckham Ave Tyler TX 75701-1905 Ph: (903) 780-5655 |
| NPI Number | 1487809570 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 11/18/2008 |
| Medicare PECOS PAC ID | 6204999337 |
|---|---|
| Medicare Enrollment ID | O20090115000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487809570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Li-yu H Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962432559 PECOS PAC ID: 7012070147 Enrollment ID: I20090115000149 |
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