Jennifer T. Mitchell
Family Doctor Family Doctor - Sports Medicine
3601 4th St
Lubbock
, Texas 79430-0002
Jennifer T. Mitchell
Family Doctor Family Doctor - Sports Medicine
3601 4th St
Lubbock
, Texas 79430-0002
(806) 743-2787
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Jennifer T. Mitchell
- Po Box 5865
- Lubbock, TX
- Zip : 79408-5865
- Fax : (806) 743-2787
- Phone : (806) 743-2898
Second Address
- Jennifer T. Mitchell
- 3601 4th St
- Lubbock, TX
- Zip : 79430-0002
- Fax : (806) 743-2563
- Phone : (806) 743-2757
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | J6508 | TX |
| N | 207QS0010X | Family Doctor - Sports Medicine | J6508 | TX |
National Provider Identifier
| NPI | 1154313054 |
|---|---|
| Provider Name | Jennifer T. Mitchell |
| First Address | Lubbock, TX 79408-5865 |
| Second Address | Lubbock, TX 79430-0002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 02/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101608100 | FIRSTCARE COMMERCIAL (01) | TX |
| 101608101 | (05) | TX |
| 146288902 | (05) | TX |
| 146288903 | (05) | TX |
| 200016590A | (05) | OK |
| 29557887 | (05) | NM |
| 87418Z | HMO BLUE (01) | TX |
| 8F3612 | BCBS (01) | TX |
| A569 | TRIWEST (01) | NM |
| H43885 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.