Dr Jack P Mitchell P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7317 Issued in TX

Legal business name

DR JACK P MITCHELL P C

Practice address

1011 W Loop 281
Ste.9
Longview, TX 75604-2970

Phone

(903) 759-2533

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack Mitchell

Title

Doctor

Phone

(903) 759-2533

Specialties & licenses 1

Addresses

Other names 1

• mitchell family clinic Doing business as

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1619169786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9159",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756089159",
            "telephone_number": "903-759-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W LOOP 281",
            "address_2": "STE.9",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042970",
            "telephone_number": "903-759-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JACK P MITCHELL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "903-759-2533",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mitchell family clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Longview, TX
• Providers in Longview, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.