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Individual
MALLORY ESTILL MULLINS
Active
Individual
MALLORY ESTILL MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
764917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322429701
—
TX
01
—
8202NC
BCBSTX
TX
01
—
P01217379
MEDICARE RAILROAD
TX
Enumeration date
06/17/2013
Last updated
01/15/2019
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