Dtm Wellness PLLC
NPI 1306478417ActiveOrganization· Pain Medicine, Pain Medicine· Tyler, TX
Pain Medicine, Pain Medicine in Tyler, Texas, registered in NPPES in February 2020. The authorized official on file is Derek T. Mitchell, MD, Owner, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306478417 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2020 |
| Last updated in NPPES | Feb 6, 2020 |
| Certified by provider | Feb 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Pain Medicine Primary | 208VP0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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