Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A87353 | CA |
N | 207X00000X | Orthopaedic Surgeon | Q3055 | TX |
Y | 207XS0106X | Orthopaedic Hand Surgeon | Q3055 | TX |
NPI | 1134383979 |
---|---|
Provider Name | Scott Andrew Mitchell |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77030-1608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 09/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A873530 | (05) | CA |