Doctor Name: | AMBER MULLINS |
NPI Number: | 1003216755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AP126263 |
Business Practice Address: | 2000 Stevenson Ln Flower Mound, TX - 750283755 |
Business Phone Number: | 2142987133 |
Business Fax Number: | |
Mailing Address: | 2000 Stevenson Ln, FLOWER MOUND |
State: | TX |
Postal Code: | 750283755 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/31/2014 |
NPI Last Update Date: | 08/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP126263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |