| Kirk Mitchell MD PA | |
|
1810 8th Ave Ste A101 Fort Worth TX 76110-1352 | |
| (877) 969-6863 | |
| Not Available |
| Full Name | Kirk Mitchell MD PA |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1810 8th Ave Ste A101, Fort Worth, Texas |
| Authorized Official Name and Position | Traci Piersanti (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8779696863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk Mitchell MD PA 1810 8th Ave Ste A101 Fort Worth TX 76110-1352 Ph: (877) 969-6863 | Kirk Mitchell MD PA 1810 8th Ave Ste A101 Fort Worth TX 76110-1352 Ph: (877) 969-6863 |
| NPI Number | 1194522730 |
|---|---|
| Provider Enumeration Date | 03/01/2025 |
| Last Update Date | 10/30/2025 |
| Certification Date | 10/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194522730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 363L00000X | Nurse Practitioner | (NU) | Primary |
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