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Individual
DR. DANETTE RAI ELLIOTT-MULLENS
Active
Individual
DR. DANETTE RAI ELLIOTT-MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO150943
OR
207R00000X
Internal Medicine Physician
K9775
TX
2080A0000X
Pediatric Adolescent Medicine Physician
DO150943
OR
2080A0000X
Pediatric Adolescent Medicine Physician
K9775
TX
Other
Enumeration date
07/19/2006
Last updated
04/11/2024
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