# ROD LEE ELLIOTT-MULLENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447271986
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | DO150936 | OR | — |
| 207RP1001X | Pulmonary Disease Physician | K9776 | TX | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 2024006433 | MO | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | DO150936 | OR | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | K-9776 | TX | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 037600601 | — | TX |
| 01 | — | 10725082 | CAQH ID | OR |
| 05 | — | 500621775 | — | OR |
| 01 | — | R186837 | MEDICARE | OR |