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John Mistrot, MD
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1700237765

John Mistrot is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. John Mistrot practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for John Mistrot is 1700237765 and holds a License No. BP10056668 (Texas).

The current practice location address for John Mistrot is 3813 41St St, Lubbock, TX and can be reached out via phone at 919-215-9991.

Location: 3813 41St St, Lubbock, TX, 79413-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700237765
Provider Name
John Mistrot
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3813 41St St, Lubbock, TX, 79413-2907
Phone Number
919-215-9991
Fax Number
Provider Enumeration Date
06/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3813 41St St
City
Lubbock
State
Texas
Zip
79413-2907
Phone Number
919-215-9991
Fax Number
person
Provider Business Mailing Address Details
Address
3813 41St St
City
Lubbock
State
Texas
Zip
79413-2907
Phone Number
919-215-9991
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10056668 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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