Charlie Mitchell, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0849 Issued in TX

Practice address

2002 Holcombe Boulevard
Houston, TX 77030-4298

Phone

(713) 794-1414

Fax

(713) 794-7094

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497848089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 SAGETRAIL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892912",
            "telephone_number": "281-484-1167",
            "fax_number": "281-484-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BOULEVARD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304298",
            "telephone_number": "713-794-1414",
            "fax_number": "713-794-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHARLIE",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA0849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky O Mitchell, LPC
• Bryan Mark Mitchell, D.D.S., M.S.
• Candice Mitchell, PHARMD
• Cardona Toyin Mitchell, ED.D
• Carrie A Mitchell
• Cheryl R Mitchell, OT
• Damario Mitchell
• Dana Faye Mitchell, M.D.
• Danielle Mitchell, RD, LD, LPC, FMCHC
• Darin James Mitchell, D.C.

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.