1629530423 NPI number — MITCHUM & WILLIAMS TENDER HEARTS GROUP

Table of content: (NPI 1629530423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629530423 NPI number — MITCHUM & WILLIAMS TENDER HEARTS GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MITCHUM & WILLIAMS TENDER HEARTS GROUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629530423
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2111 N COOPER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76011-3229
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-729-0836
Provider Business Mailing Address Fax Number:
682-706-3314

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2111 N COOPER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76011-3229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-729-0836
Provider Business Practice Location Address Fax Number:
682-706-3314
Provider Enumeration Date:
04/02/2019

Additional Information

Authorized Official

Authorized Official Last Name:
MITCHUM
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PROGRAM MANAGER
Authorized Official Telephone Number:
214-729-0836

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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