person
Mitchell Vince Peebles, DO
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1730822024

Mitchell Vince Peebles is a Student in an Organized Health Care Education/Training Program based in Burleson, TX. Mitchell Vince Peebles practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Mitchell Vince Peebles is 1730822024 and holds a License No. (Texas).

The current practice location address for Mitchell Vince Peebles is 1301 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-250-3117.

Location: 1301 Pennsylvania Ave, Fort Worth, TX, 76028-5933
person
Provider Profile Details
NPI Number
1730822024
Provider Name
Mitchell Vince Peebles
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1301 Pennsylvania Ave, Fort Worth, TX, 76028-5933
Phone Number
817-250-3117
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1301 Pennsylvania Ave
City
State
Zip
76104-2122
Phone Number
817-250-3117
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pennsylvania Ave
City
State
Zip
76104-2122
Phone Number
817-250-3117
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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