Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2071 | TX |
Y | 222Z00000X | Podiatrist | 2071 | TX |
N | 213ES0131X | Foot Surgery | 2071 | TX |
NPI | 1083040141 |
---|---|
Provider Name | Dr. Analiza Mitchell |
First Address | Troy, MI 48099-4839 |
Second Address | Houston, TX 77074-2096 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2013 |
Last Update Date | 06/06/2015 |