| Doctor Name: | DR. LUCAS MULDER |
| NPI Number: | 1235114919 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | J6182 |
| Business Practice Address: | 700 Flournoy Rd Suite 2 Alice, TX - 783324087 |
| Business Phone Number: | 3616680618 |
| Business Fax Number: | 3616689677 |
| Mailing Address: | 700 Flournoy Rd, Suite 2 ALICE |
| State: | TX |
| Postal Code: | 783324087 |
| Phone Number: | 3616680618 |
| Fax Number: | 3616689677 |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 04/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | J6182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |