MR. MITCHEL PRESLEY SR. (NPI# 1255420527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255420527 |
| Entity Type | Individual |
| Full Name | MR. MITCHEL PRESLEY SR. |
| Credential | L.O. |
| Practice Address |
11417 Smallwood Dr Burleson TX 76028-6948 |
| Practice Telephone | 8175510450 |
| Mailing Telephone | 8175510450 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 161 | TX | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952483844 | Mitchel Earl Presley Jr. | Orthotic Fitter | 4800 Ne Stallings Dr, Suite 1600, Nacogdoches, TX 75965-1249 | 2006-10-19 |
| Street Address |
11417 SMALLWOOD DR |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-6948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891169 | Edison Bio LLC | Specialist/Technologist, Other | 2700 Post Oak Blvd, Galleria Office Tower I, Houston, TX 77056 | 2020-05-06 |
| 1902456197 | Jimmie C Salazar | Specialist/Technologist, Other | 301 Tubb Loop Rd, Big Spring, TX 79720-0658 | 2019-09-19 |
| 1821646480 | Julio Rodriguez | Specialist/Technologist, Other | 7111 Elm St, Frisco, TX 75034-4234 | 2019-08-27 |
| 1700438074 | Myindustries, LLC | Specialist/Technologist, Other | 1151 N Buckner Blvd Ste 407, Dallas, TX 75218-3407 | 2019-07-16 |
| 1942862438 | Md Stream, LLC | Specialist/Technologist, Other | 2129 Fm 2920 Rd # 190-279, Spring, TX 77388-3671 | 2019-07-03 |
| 1427610575 | Anna L Landry | Specialist/Technologist, Other | 1432 Commerce, Buffalo, TX 75131 | 2019-06-28 |
| 1194381871 | Destry Graham Flatt | Specialist/Technologist, Other | 720 1/2 Rollingbrook Dr, Baytown, TX 77521-4059 | 2019-05-17 |
| 1881150670 | Ada J Smith | Specialist/Technologist, Other | 6414 Annunciation St, Houston, TX 77016-2102 | 2019-02-16 |
| 1952883027 | Jennifer Mortensen | Specialist/Technologist, Other | 2330 Timber Shadows Dr Ste 102, Kingwood, TX 77339-2675 | 2018-09-05 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.