Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | Q2931 | TX |
NPI | 1003107426 |
---|---|
Provider Name | Dr. Janice Louise Mitchell |
First Address | Flower Mound, TX 75028-1535 |
Second Address | Flower Mound, TX 75028-1535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2011 |
Last Update Date | 27/01/2020 |