SHANE MITCHELL PA NPI 1609541887

NPI Information

NPI: 1609541887
Provider Name: SHANE MITCHELL, PA
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
21227 TORCH ST
FT BLISS, TX
ZIP 79918
Phone: (159) 742-3294
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Shane Mitchell, PA is a military health care provider in Ft Bliss, TX. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Shane Mitchell, PA NPI is 1609541887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21227 TORCH ST
FT BLISS, TX
ZIP 79918
Phone: (159) 742-3294

The enumeration date for this NPI number is 8/10/2021 and was last updated on 7/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant				No
2	171000000X	Military Health Care Provider				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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