Organization
M.GAYLE MULLANAX, MD PA
Active
Organization
M.GAYLE MULLANAX, MD PA
Active
Other names
MULLANAX DERMATOLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON GAYLE MULLANAX M.D. (OWNER)
(817) 261-1626
Entity
Organization
Contact information
Practice address
715 N FIELDER RD, ARLINGTON, TX 76012-4695
(817) 261-1626
(817) 275-0441
Mailing address
715 N FIELDER RD, ARLINGTON, TX 76012-4695
(817) 261-1626
(817) 275-0441
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D1750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007DQ
BCBS OF TEXAS
TX
Enumeration date
04/11/2007
Last updated
06/25/2009
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