| Doctor Name: | MISS ANGELA NICOLE MULLINS |
| NPI Number: | 1780923771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 106391 |
| Business Practice Address: | 3939 Us Highway 80 E Ste 458b Mesquite, TX - 751503359 |
| Business Phone Number: | 4692060652 |
| Business Fax Number: | 4692060739 |
| Mailing Address: | 3939 Us Highway 80 E, Ste 458b MESQUITE |
| State: | TX |
| Postal Code: | 751503359 |
| Phone Number: | 4692060652 |
| Fax Number: | 4692060739 |
| NPI Enumeration Date: | 02/11/2013 |
| NPI Last Update Date: | 02/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 106391 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |