# DR. DANETTE RAI ELLIOTT-MULLENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417977042
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | DO150943 | OR | Yes |
| 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